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General NPI Number Information
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NPI Number | 1396658027
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Entity Type | Individual
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Provider Name | COLLIN MICHAEL MAHONEY CT
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Gender | Male
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 3500 LORAIN AVE STE 300
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City | CLEVELAND
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State | OH
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Zip | 44113-3726
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Country | US
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Telephone | 216-538-7198
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Fax |
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Provider Business Mailing Address
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Address Line | 10055 DELORES DR APT D
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City | STREETSBORO
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State | OH
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Zip | 44241-4325
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Country | US
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Telephone |
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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 | C.2608021-TRNE
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License Number State | OH
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