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General NPI Number Information
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NPI Number | 1376035840
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Entity Type | Individual
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Provider Name | ELIZABETH DALTON
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Gender | Female
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 12201 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-4310
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Country | US
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Telephone | 216-721-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 7510 AETNA RD APT 3
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City | CLEVELAND
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State | OH
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Zip | 44105-1575
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Country | US
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Telephone | 253-250-9931
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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