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General NPI Number Information
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NPI Number | 1548717416
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Entity Type | Organization
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Legal Business Name | ACHIEVEMENT ADVANTAGE ASSESSMENT & SERVICES
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 5420 MAYFIELD RD STE 202
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City | LYNDHURST
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State | OH
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Zip | 44124
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Country | US
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Telephone | 440-397-4056
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Fax |
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Provider Business Mailing Address
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Address Line | 5420 MAYFIELD RD STE 202
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City | CLEVELAND
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State | OH
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Zip | 44124-2934
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Country | US
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Telephone | 440-397-4056
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Fax |
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Authorized Official
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Title or Position | SCHOOL PSYCHOLOGIST
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Name | JENNIFER MURPHY
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Credential |
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Telephone | 440-397-4056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | SP622
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License Number State | OH
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