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General NPI Number Information
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NPI Number | 1457682965
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Entity Type | Organization
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Legal Business Name | NANCY O'MAILLE & ASSOCIATES
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 01/22/2010
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Provider Practice Location Address
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Address Line | 38052 EUCLID AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-6161
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Country | US
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Telephone | 440-953-1214
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Fax | 440-953-1215
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Provider Business Mailing Address
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Address Line | 38052 EUCLID AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-6161
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Country | US
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Telephone | 440-953-1214
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Fax | 440-953-1215
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Authorized Official
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Title or Position | OWNER
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Name | NANCY O'MAILLE
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Credential | LISW
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Telephone | 440-953-1214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I0007662
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License Number State | OH
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