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General NPI Number Information
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NPI Number | 1235613845
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Entity Type | Individual
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Provider Name | HANK JOHN JONTONY CT
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Gender | Male
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 6200 ROCKSIDE WOODS BLVD N STE 310
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2343
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Country | US
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Telephone | 216-525-1885
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Fax |
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Provider Business Mailing Address
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Address Line | 3168 STERLING LAKE DR
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City | MEDINA
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State | OH
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Zip | 44256-6241
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Country | US
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Telephone | 440-336-2855
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.1801144-TRNE
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License Number State | OH
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