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General NPI Number Information
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NPI Number | 1730992223
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Entity Type | Individual
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Provider Name | DAWN RANEE ROSS LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1640 FLOSSIE DR
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City | GREENDALE
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State | IN
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Zip | 47025-8424
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Country | US
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Telephone | 859-301-5901
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Fax | 859-301-5940
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-301-5901
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Fax | 859-301-5940
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 259057
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 259057
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34010968A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 34010968A
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License Number State | IN
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