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General NPI Number Information
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NPI Number | 1972840700
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Entity Type | Individual
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Provider Name | DIANA MYERS LISW
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Gender | Female
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Dates
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Enumeration Date | 01/14/2013
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 10400 BLACKLICK EASTERN RD
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City | PICKERINGTON
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State | OH
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Zip | 43147-8235
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Country | US
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Telephone | 740-868-9362
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Fax |
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Provider Business Mailing Address
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Address Line | 1175 NEWARK RD
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City | ZANESVILLE
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State | OH
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Zip | 43701-2618
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Country | US
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Telephone | 740-454-0738
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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 | 0700070
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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 | I.0700070
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License Number State | OH
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