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General NPI Number Information
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NPI Number | 1174943187
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Entity Type | Individual
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Provider Name | CARA PICCIANO
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Gender | Female
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 100 DEBARTOLO PL STE 220
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City | BOARDMAN
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State | OH
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Zip | 44512-6095
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Country | US
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Telephone | 216-408-5749
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 WINDEL WAY
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City | BOARDMAN
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State | OH
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Zip | 44512-3752
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Country | US
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Telephone | 216-408-5749
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | OH1405557
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License Number State | OH
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