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General NPI Number Information
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NPI Number | 1407348964
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Entity Type | Individual
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Provider Name | MADELINE PAIGE EMERY BSW,LSW, LISW
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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 | 08/30/2024
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Provider Practice Location Address
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Address Line | 8700 SUITE 3, EAST MARKET STREET
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City | WARREN
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State | OH
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Zip | 44484
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Country | US
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Telephone | 330-506-5635
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Fax |
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Provider Business Mailing Address
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Address Line | 701 SUMMIT AVE APT 52
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City | NILES
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State | OH
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Zip | 44446-3653
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Country | US
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Telephone | 330-717-2001
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1802099
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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.2405687
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License Number State | OH
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