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General NPI Number Information
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NPI Number | 1265061287
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Entity Type | Individual
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Provider Name | EMMA JARVI
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 27600 CHAGRIN BLVD STE 475
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City | WOODMERE
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State | OH
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Zip | 44122-4421
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Country | US
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Telephone | 216-508-4050
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Fax | 216-446-0171
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Provider Business Mailing Address
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Address Line | 27600 CHAGRIN BLVD STE 475
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City | WOODMERE
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State | OH
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Zip | 44122-4421
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Country | US
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Telephone | 216-508-4050
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Fax | 216-446-0171
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-41051
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | COBA.00671
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License Number State | OH
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