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General NPI Number Information
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NPI Number | 1275112930
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Entity Type | Individual
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Provider Name | VLADIMIR V MORDASHOV LPCC
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Gender | Male
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 3928 BRECKSVILLE RD
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City | RICHFIELD
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State | OH
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Zip | 44286-9627
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Country | US
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Telephone | 216-440-1973
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Fax |
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Provider Business Mailing Address
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Address Line | 152 PUFFIN POINTE DR
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City | MEDINA
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State | OH
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Zip | 44256-7881
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Country | US
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Telephone | 330-416-9486
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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.2404650
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License Number State | OH
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