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General NPI Number Information
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NPI Number | 1144854746
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE HAAS RBT
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Gender | Female
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 3500 CARNEGIE AVE
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City | CLEVELAND
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State | OH
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Zip | 44115-2641
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Country | US
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Telephone | 440-260-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 5520 PHEASANTS WALK DR
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3959
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Country | US
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Telephone | 440-840-4882
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-21-189855
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License Number State | OH
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