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General NPI Number Information
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NPI Number | 1043612336
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Entity Type | Individual
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Provider Name | TONIE MARIE MCGLATHERY PSY.S.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 3817 MARTIN LUTHER KING JR DR
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City | CLEVELAND
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State | OH
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Zip | 44105-2846
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Country | US
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Telephone | 216-491-5865
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Fax | 216-295-4546
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Provider Business Mailing Address
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Address Line | 10335 DETROIT AVE APT 11B
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City | CLEVELAND
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State | OH
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Zip | 44102-1666
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Country | US
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Telephone | 440-666-0364
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Fax | 216-295-4546
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | OH3175656
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License Number State | OH
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