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General NPI Number Information
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NPI Number | 1811751431
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Entity Type | Individual
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Provider Name | MALESHIA NEUGEBAUER OHIO LISW-S
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Gender | Female
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1431 WAYNE AVE
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City | DAYTON
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State | OH
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Zip | 45410-1411
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Country | US
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Telephone | 937-348-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 1608 MEADOW SPRINGS CT
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City | MILFORD
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State | OH
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Zip | 45150-8805
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Country | US
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Telephone | 513-235-9343
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | I.1000165-SUPV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 4246901
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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 | I.1000165-SUPV
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License Number State | OH
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