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General NPI Number Information
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NPI Number | 1497806970
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Entity Type | Organization
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Legal Business Name | SUBURBAN FAMILY SERVICES
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23360 CHAGRIN BLVD SUITE 205
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City | BEACHWOOD
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State | OH
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Zip | 44122-5547
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Country | US
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Telephone | 216-591-0322
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Fax | 216-360-7376
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Provider Business Mailing Address
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Address Line | 23360 CHAGRIN BLVD SUITE 205
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City | BEACHWOOD
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State | OH
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Zip | 44122-5547
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Country | US
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Telephone | 216-591-0322
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Fax | 216-360-7376
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Authorized Official
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Title or Position | OWNER
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Name | SARAH G. IANNONE
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Credential | LISW
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Telephone | 216-591-0322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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