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General NPI Number Information
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NPI Number | 1154501948
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Entity Type | Organization
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Legal Business Name | ROBERT B. SYLVIES, PSY.D, INC.
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 416 JACKSON ST
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-2955
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Country | US
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Telephone | 330-386-7870
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Fax | 330-382-9075
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Provider Business Mailing Address
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Address Line | PO BOX 151
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-5151
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Country | US
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Telephone | 330-386-7870
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Fax | 330-382-9075
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT B SYLVIES
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Credential | PSY.D
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Telephone | 330-386-7870
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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 | 4795
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License Number State | OH
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