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General NPI Number Information
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NPI Number | 1124883400
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Entity Type | Individual
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Provider Name | JAVONNDA M CLOPTON CDCD
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Gender | Female
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 150 CROSS STREET
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City | AKRON
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State | OH
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Zip | 44311-1026
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Country | US
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Telephone | 330-996-9141
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Fax | 330-253-0377
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Provider Business Mailing Address
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Address Line | 150 CROSS STREET
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City | AKRON
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State | OH
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Zip | 44311-1026
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Country | US
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Telephone | 330-622-2157
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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 | 186841
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN.146569.MEDS-IV
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License Number State | OH
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