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General NPI Number Information
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NPI Number | 1164724241
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Entity Type | Individual
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Provider Name | MERVAT D EL-DABH LPC
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Gender | Female
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 5706 TURNEY RD STE 200
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-3971
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Country | US
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Telephone | 440-260-6114
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Fax | 216-518-9298
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Provider Business Mailing 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 | 440-260-8900
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Fax | 216-518-9298
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | C 0900515
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License Number State | OH
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