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General NPI Number Information
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NPI Number | 1376876680
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Entity Type | Individual
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Provider Name | THERESA L FEEZLE S.W.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 21 E STATE ST
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City | COLUMBUS
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State | OH
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Zip | 43215-4281
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Country | US
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Telephone | 574-546-1999
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Fax | 574-546-1900
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Provider Business Mailing Address
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Address Line | 347 MIDWAY BLVD SUITE 204
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City | ELYRIA
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State | OH
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Zip | 44035-9006
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Country | US
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Telephone | 440-324-4980
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Fax | 440-324-4987
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.0600443
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License Number State | OH
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