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General NPI Number Information
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NPI Number | 1295429751
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Entity Type | Organization
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Legal Business Name | HEIDI TOLCHINSKY
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 675 ALPHA DR STE G
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City | HIGHLAND HTS
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State | OH
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Zip | 44143-2139
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Country | US
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Telephone | 216-801-0723
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Fax |
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Provider Business Mailing Address
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Address Line | 675 ALPHA DR STE G
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City | HIGHLAND HTS
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State | OH
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Zip | 44143-2139
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Country | US
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Telephone | 216-801-0723
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Fax |
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Authorized Official
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Title or Position | TAX ID OWNER
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Name | HEIDI T TOLCHINSKY
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Credential | LISW-S LICDC
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Telephone | 216-801-0723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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