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General NPI Number Information
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NPI Number | 1053410613
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Entity Type | Organization
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Legal Business Name | THE HANNA PERKINS CENTER
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19910 MALVERN RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-2823
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Country | US
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Telephone | 216-929-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 19910 MALVERN RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-2823
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. THOMAS BARRETT
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Credential | PH.D.
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Telephone | 216-929-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2831
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License Number State | OH
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