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General NPI Number Information
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NPI Number | 1457946618
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Entity Type | Individual
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Provider Name | EMILY NOEL SHUSS
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Gender | Female
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | SPRINGVALE HEALTH CENTERS 201 HOSPITAL DRIVE
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City | DOVER
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State | OH
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Zip | 44662-4462
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Country | US
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Telephone | 330-343-6631
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Fax |
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Provider Business Mailing Address
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Address Line | 29700 MORAVIAN TRAIL RD
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City | UHRICHSVILLE
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State | OH
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Zip | 44683-9626
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Country | US
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Telephone | 330-440-8372
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Fax |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | OH
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