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General NPI Number Information
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NPI Number | 1821877564
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Entity Type | Organization
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Legal Business Name | URBAN MINORITY ALCOHOLISM & DRUG ABUSE OUTREACH PROGRAM OF CINCINNATI
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 2230 PARK AVE
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City | CINCINNATI
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State | OH
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Zip | 45206-2784
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Country | US
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Telephone | 513-541-7099
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Fax | 513-541-0989
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Provider Business Mailing Address
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Address Line | 2230 PARK AVE
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City | CINCINNATI
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State | OH
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Zip | 45206-2784
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Country | US
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Telephone | 513-541-7099
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Fax | 513-541-0989
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Authorized Official
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Title or Position | CEO, EXECUTIVE DIRECTOR
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Name | PATRICIA BROWN
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Credential |
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Telephone | 513-541-7099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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