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General NPI Number Information
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NPI Number | 1427470665
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Entity Type | Organization
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Legal Business Name | SOCIAL ASSIST LLC
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 147 E AURORA RD LOWER LEVEL
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City | NORTHFIELD
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State | OH
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Zip | 44067-2084
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Country | US
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Telephone | 440-523-0165
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Fax | 330-748-4780
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Provider Business Mailing Address
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Address Line | 147 E AURORA RD LOWER LEVEL
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City | NORTHFIELD
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State | OH
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Zip | 44067-2084
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Country | US
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Telephone | 440-523-0165
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Fax | 330-748-4780
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MRS. JILL CAROL MILLER
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Credential | LISW-S, LICDC, SAP
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Telephone | 440-523-0165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 131071
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I.0800419 .SUPV
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License Number State | OH
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