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General NPI Number Information
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NPI Number | 1437680980
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Entity Type | Organization
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Legal Business Name | THOMAS GIGLIOTTI LLC
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 1508 LYNDHURST RD
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City | LYNDHURST
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State | OH
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Zip | 44124-2858
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Country | US
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Telephone | 440-554-6448
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 LYNDHURST RD
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City | LYNDHURST
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State | OH
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Zip | 44124-2858
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Country | US
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Telephone | 440-554-6448
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | THOMAS GIGLIOTTI I
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Credential | LISW-S
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Telephone | 440-554-6448
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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 | I-0005967
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License Number State | OH
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