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NPI 1396085296

NPI 1396085296 : DIANE STINER DOYLE LISW-S : CLEVELAND, OH

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General NPI Number Information
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    NPI Number           |    1396085296
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    Entity Type          |    Individual 
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    Provider Name        |    DIANE STINER DOYLE LISW-S
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/01/2013
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    Last Update Date     |    06/09/2023
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Provider Practice Location Address
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    Address Line         |    10701 EAST BLVD 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44106-1702
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    Country              |    US
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    Telephone            |    216-791-3800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1175 RICHMOND RD. 
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    City                 |    LYDHURST
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    State                |    OH
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    Zip                  |    44124
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    Country              |    US
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    Telephone            |    216-712-8186
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    I.1200132
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    I 1200232
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    License Number State |    OH
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