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General NPI Number Information
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NPI Number | 1457635229
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Entity Type | Individual
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Provider Name | SANDRA WOLFE LAVELLE NP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 36100 EUCLID AVE STE 350
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4489
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Country | US
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Telephone | 440-449-1540
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 931596
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City | CLEVELAND
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State | OH
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Zip | 44193-1724
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Country | US
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Telephone | 440-449-1540
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Fax | 440-460-2833
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN.271541
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN.271541
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License Number State | OH
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