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General NPI Number Information
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NPI Number | 1144376161
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Entity Type | Individual
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Provider Name | SARAH TERWOORD STANEFF L.C.P.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/14/2009
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Provider Practice Location Address
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Address Line | 20525 CENTER RIDGE RD SUITE #610
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City | ROCKY RIVER
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State | OH
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Zip | 44116-3437
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Country | US
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Telephone | 440-356-5733
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Fax |
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Provider Business Mailing Address
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Address Line | 5069 PARK DR
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City | VERMILION
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State | OH
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Zip | 44089-1414
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Country | US
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Telephone | 440-967-0599
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2357
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License Number State | OH
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