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General NPI Number Information
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NPI Number | 1932715471
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Entity Type | Individual
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Provider Name | RAQUEL POWELL-LEWIS LPC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 1435 VINE ST APT 2
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City | CINCINNATI
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State | OH
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Zip | 45202-7094
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Country | US
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Telephone | 513-599-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 5123 PRINCE WILLIAM WAY
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-8304
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Country | US
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Telephone | 513-706-9594
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.1000190
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License Number State | OH
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