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General NPI Number Information
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NPI Number | 1801336144
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Entity Type | Organization
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Legal Business Name | AFFECT CONSULTING, LLC
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 131 N. LUDLOW STREET 248
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City | DAYTON
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State | OH
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Zip | 45402
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Country | US
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Telephone | 937-952-6291
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 COOLIDGE DR
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City | OAKWOOD
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State | OH
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Zip | 45419-2524
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Country | US
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Telephone | 937-673-3428
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | CHERYL LYNN MAHONEY
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Credential | M.ED., LSW
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Telephone | 937-673-3428
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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 | S1000047
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License Number State | OH
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