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General NPI Number Information
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NPI Number | 1790814663
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Entity Type | Organization
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Legal Business Name | CANCER FAMILY CARE, INC.
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 4790 RED BANK EXPRESSWAY SUITE 128
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City | CINCINNATI
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State | OH
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Zip | 45227-2701
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Country | US
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Telephone | 513-731-3346
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Fax | 513-458-3582
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Provider Business Mailing Address
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Address Line | 4790 RED BANK EXPRESSWAY SUITE 128
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City | CINCINNATI
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State | OH
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Zip | 45227-2701
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Country | US
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Telephone | 513-731-3346
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. LISA M. WARD
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Credential |
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Telephone | 513-731-3346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I0008204
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License Number State | OH
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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 | I9490
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License Number State | OH
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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 | I0008273
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I0005497
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License Number State | OH
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