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General NPI Number Information
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NPI Number | 1114830312
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Entity Type | Individual
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Provider Name | REBEKAH ERIN MATHENY LISW
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 405 TALLMADGE RD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-3362
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Country | US
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Telephone | 330-280-4648
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Fax |
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Provider Business Mailing Address
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Address Line | 2365 BEECHMOOR DR NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-5816
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Country | US
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Telephone | 330-280-4648
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | I.2506813
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License Number State | OH
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