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General NPI Number Information
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NPI Number | 1306578844
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Entity Type | Individual
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Provider Name | ERIKA JEANNETTE LEAVITT SWT
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Gender | Female
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 9300 QUINCY AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-3545
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Country | US
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Telephone | 216-443-3107
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Fax |
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Provider Business Mailing Address
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Address Line | 1865 N RIDGE RD E STE A
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City | LORAIN
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State | OH
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Zip | 44055-3359
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Country | US
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Telephone | 440-324-1300
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Fax | 440-277-0409
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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