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General NPI Number Information
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NPI Number | 1518029560
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Entity Type | Individual
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Provider Name | TERESA LYNN EICHER LISW-S
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 217 N DEFIANCE ST
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City | ARCHBOLD
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State | OH
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Zip | 43502-1160
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Country | US
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Telephone | 216-973-3786
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Fax |
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Provider Business Mailing Address
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Address Line | 300 STRYKER ST
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City | ARCHBOLD
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State | OH
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Zip | 43502-1143
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Country | US
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Telephone | 216-973-3786
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.0700289-SUPV
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License Number State | OH
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