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General NPI Number Information
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NPI Number | 1447685003
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Entity Type | Individual
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Provider Name | TERRENCE JOHN KELLEMAN LICDC
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Gender | Male
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 23550 CENTER RIDGE RD SUITE 208
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City | WESTLAKE
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State | OH
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Zip | 44145-3655
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Country | US
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Telephone | 440-356-2286
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Fax | 440-331-3021
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Provider Business Mailing Address
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Address Line | 23550 CENTER RIDGE RD SUITE 208
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City | WESTLAKE
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State | OH
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Zip | 44145-3655
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Country | US
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Telephone | 440-356-2286
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Fax | 440-331-3021
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 912985
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License Number State | OH
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