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General NPI Number Information
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NPI Number | 1104989201
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Entity Type | Organization
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Legal Business Name | JEWISH FAMILY SERVICE OF AKRON
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 750 WHITE POND DR
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City | AKRON
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State | OH
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Zip | 44320-1128
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Country | US
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Telephone | 330-867-3388
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Fax | 330-867-3396
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Provider Business Mailing Address
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Address Line | 750 WHITE POND DR
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City | AKRON
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State | OH
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Zip | 44320-1128
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Country | US
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Telephone | 330-867-3388
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Fax | 330-867-3396
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JUDITH L. ROSENTHAL
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Credential | PHD
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Telephone | 330-867-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3399
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I0004680
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E0001812
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License Number State | OH
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