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General NPI Number Information
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NPI Number | 1871354233
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Entity Type | Individual
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Provider Name | PORTIA RENEE LESPERE LSW
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Gender | Female
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2555 S DIXIE DR
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City | DAYTON
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State | OH
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Zip | 45409-1539
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Country | US
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Telephone | 513-570-4068
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Fax |
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Provider Business Mailing Address
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Address Line | 7908 BLACKSHEAR DR
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City | DAYTON
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State | OH
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Zip | 45424-2127
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Country | US
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Telephone | 940-224-6258
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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-2303145-TRNE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2511779
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License Number State | OH
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