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General NPI Number Information
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NPI Number | 1780283317
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Entity Type | Individual
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Provider Name | DONALD SPAFFORD
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Gender | Male
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Dates
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Enumeration Date | 10/24/2020
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3103 DIXIE HWY
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City | HAMILTON
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State | OH
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Zip | 45015-1653
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Country | US
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Telephone | 138-924-6735
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Fax | 537-737-1107
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Provider Business Mailing Address
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Address Line | 3103 DIXIE HWY
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City | HAMILTON
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State | OH
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Zip | 45015-1653
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Country | US
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Telephone | 513-892-4673
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Fax | 513-737-1107
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 161648
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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