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General NPI Number Information
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NPI Number | 1306130166
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Entity Type | Individual
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Provider Name | STEPHANIE ROSEMARIE LEWIS LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 22001 FAIRMOUNT BLVD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44118
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Country | US
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Telephone | 216-320-8386
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Fax |
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Provider Business Mailing Address
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Address Line | 22001 FAIRMOUNT BLVD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44118-4819
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Country | US
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Telephone | 216-320-8386
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | E.1100027-SUPV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | E.1100027-SUPV
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | E.1100027-SUPV
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | E.1100027-SUPV
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | E.1100027-SUPV
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | E.1100027-SUPV
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | E.1100027-SUPV
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.1100027-TRNE
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | E.1100027-SUPV
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License Number State | OH
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Taxonomy #10
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E.1100027-SUPV
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License Number State | OH
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Taxonomy #11
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | E.1100027-SUPV
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License Number State | OH
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Taxonomy #12
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | E.1100027-SUPV
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License Number State | OH
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