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General NPI Number Information
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NPI Number | 1851498646
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Entity Type | Individual
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Provider Name | SCOTT D STEPHENS LISW-S
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 7162 READING RD 6TH FLOOR
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City | CINCINNATI
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State | OH
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Zip | 45237-3838
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Country | US
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Telephone | 513-241-7745
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Fax |
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Provider Business Mailing Address
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Address Line | 496 SAINT THOMAS CT
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City | FAIRFIELD
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State | OH
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Zip | 45014-4469
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Country | US
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Telephone | 513-470-2307
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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 | I 0007996
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License Number State | OH
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