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General NPI Number Information
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NPI Number | 1215906193
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Entity Type | Individual
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Provider Name | SUSAN MARGARET LIPIEC LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 4545 COLLEGE RD
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City | CLEVELAND
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State | OH
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Zip | 44121-4228
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Country | US
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Telephone | 216-373-5211
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Fax | 216-381-3802
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Provider Business Mailing Address
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Address Line | 3310 DORCHESTER RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-3415
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Country | US
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Telephone | 216-246-9089
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E 0007554
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License Number State | OH
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