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General NPI Number Information
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NPI Number | 1851117030
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Entity Type | Individual
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Provider Name | TRACIE L DOYLE LSW
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 45875 BELL SCHOOL RD STE B
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-8728
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Country | US
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Telephone | 330-397-6007
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Fax | 234-254-5655
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Provider Business Mailing Address
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Address Line | 11188 YOUNGSTOWN PITTSBURGH RD
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City | NEW MIDDLETOWN
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State | OH
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Zip | 44442-8740
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Country | US
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Telephone | 330-259-5621
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1700263
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License Number State | OH
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