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General NPI Number Information
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NPI Number | 1962825687
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Entity Type | Individual
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Provider Name | JERALYN BOYD MA, LISW
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Gender | Female
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 7162 READING RD STE 500
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City | CINCINNATI
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State | OH
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Zip | 45237-3899
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Country | US
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Telephone | 513-761-6222
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Fax | 513-679-4590
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Provider Business Mailing Address
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Address Line | 8425 COTTONWOOD DR APT 3
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City | CINCINNATI
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State | OH
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Zip | 45231-5930
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Country | US
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Telephone | 513-499-1765
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I. 1700101
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License Number State | OH
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