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General NPI Number Information
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NPI Number | 1124096169
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Entity Type | Individual
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Provider Name | LENNY J HROVAT LICDC
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 555 INDEPENDENCE DRIVE
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City | MEDINA
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State | OH
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Zip | 44256
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Country | US
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Telephone | 330-764-3658
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Fax | 330-764-8126
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Provider Business Mailing Address
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Address Line | 561 FALLING OAKS DRIVE
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City | MEDINA
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State | OH
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Zip | 44256
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Country | US
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Telephone | 330-725-8610
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 944116
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License Number State | OH
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