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General NPI Number Information
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NPI Number | 1144753179
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE SHAUVER LSW
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Gender | Female
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 3789B GREEN RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-5705
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Country | US
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Telephone | 216-464-5800
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Fax | 440-356-7623
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Provider Business Mailing Address
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Address Line | 33440 JACKSON RD
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City | MORELAND HILLS
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State | OH
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Zip | 44022-1828
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Country | US
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Telephone | 440-829-4584
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1601207
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License Number State | OH
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