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NPI 1164514824

NPI 1164514824 : ROBERT B CLAPP PCC : MENTOR, OH

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General NPI Number Information
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    NPI Number           |    1164514824
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT B CLAPP PCC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/29/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    8351 MENTOR AVE 
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    City                 |    MENTOR
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    State                |    OH
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    Zip                  |    44060-5749
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    Country              |    US
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    Telephone            |    216-839-2273
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    Fax                  |    216-896-0735
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Provider Business Mailing Address
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    Address Line         |    PO BOX 24242 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44124-0242
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    Country              |    US
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    Telephone            |    216-839-2273
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    Fax                  |    216-896-0735
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    933728
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    License Number State |    OH
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