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General NPI Number Information
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NPI Number | 1811324981
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Entity Type | Individual
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Provider Name | ALICIA PATEL MSW, LISW-S
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Gender | Female
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 165 E PARK AVE
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City | NILES
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State | OH
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Zip | 44446-2352
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Country | US
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Telephone | 330-544-8005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 683 165 EAST PARK AVE.
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City | NILE
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State | OH
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Zip | 44406
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Country | US
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Telephone | 330-544-8005
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Fax | 330-505-8243
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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 | 1302823
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1500917
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License Number State | OH
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