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General NPI Number Information
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NPI Number | 1942624127
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Entity Type | Individual
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Provider Name | MARY DOWNER LISW
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Gender | Female
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 02/10/2014
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Provider Practice Location Address
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Address Line | 8668 MIAMISBURG SPRINGBORO RD
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City | MIAMISBURG
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State | OH
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Zip | 45342-3493
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Country | US
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Telephone | 937-865-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 31 STONEMILL RD
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City | DAYTON
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State | OH
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Zip | 45409-2526
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Country | US
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Telephone | 937-285-5294
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | I0900227
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License Number State | OH
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