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General NPI Number Information
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NPI Number | 1346651965
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Entity Type | Individual
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Provider Name | DENISE ESLINGER LPCC-S, LSW, NCSP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 10312 ELLIMAN RD
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City | MANTUA
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State | OH
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Zip | 44255-9482
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Country | US
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Telephone | 440-476-6636
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Fax | 440-748-7016
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Provider Business Mailing Address
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Address Line | 10312 ELLIMAN RD
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City | MANTUA
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State | OH
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Zip | 44255
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Country | US
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Telephone | 440-476-6636
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Fax | 440-748-7016
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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 | E0002637-SUPV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S-001713
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License Number State | OH
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