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General NPI Number Information
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NPI Number | 1932529435
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Entity Type | Individual
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Provider Name | LEA DRURY MSW, LSW, LICDC
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Gender | Female
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 5400 EDALBERT DR
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City | CINCINNATI
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State | OH
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Zip | 45239-7695
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Country | US
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Telephone | 513-310-4247
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Fax |
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Provider Business Mailing Address
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Address Line | 2465 SATURN STREET
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City | CINCINNATI
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State | OH
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Zip | 45214-7695
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Country | US
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Telephone | 513-310-4247
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ICDC.121030
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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.1200317
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License Number State | OH
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