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General NPI Number Information
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NPI Number | 1821542093
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Entity Type | Individual
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Provider Name | JEREMY BILBY
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Gender | Male
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Dates
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Enumeration Date | 08/05/2016
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 8595 BEECHMONT AVE STE 310
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City | CINCINNATI
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State | OH
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Zip | 45255-5109
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Country | US
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Telephone | 513-693-9807
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Fax | 513-388-0254
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Provider Business Mailing Address
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Address Line | 8115 FOREST RD
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City | CINCINNATI
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State | OH
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Zip | 45255-4406
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Country | US
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Telephone | 513-693-9807
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Fax | 513-388-0254
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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 | C-09556
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License Number State | NM
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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 | I.2102560
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License Number State | OH
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