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General NPI Number Information
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NPI Number | 1821147034
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Entity Type | Individual
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Provider Name | BARBARA MANGES LISW, DCSW
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 201 E 5TH ST 19TH FLOOR
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City | CINCINNATI
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State | OH
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Zip | 45202-4152
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Country | US
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Telephone | 513-762-7604
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Fax | 513-762-7605
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Provider Business Mailing Address
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Address Line | 201 E 5TH ST 19TH FLOOR
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City | CINCINNATI
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State | OH
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Zip | 45202-4152
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Country | US
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Telephone | 513-762-7604
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Fax | 513-762-7605
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I0003887
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License Number State | OH
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