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General NPI Number Information
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NPI Number | 1508222464
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Entity Type | Individual
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Provider Name | KENDRA SOWARDS
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Gender | Female
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 2050 W 32ND ST
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City | CLEVELAND
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State | OH
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Zip | 44113-4018
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Country | US
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Telephone | 216-651-5982
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Fax |
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Provider Business Mailing Address
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Address Line | 3314 HANCOCK AVE
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City | CLEVELAND
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State | OH
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Zip | 44113-3954
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Country | US
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Telephone | 503-688-3070
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2107060
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.2107060
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License Number State | OH
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