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General NPI Number Information
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NPI Number | 1548806698
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Entity Type | Individual
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Provider Name | BOBBI HARVATH
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Gender | Female
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 143 GOUGLER AVE
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City | KENT
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State | OH
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Zip | 44240-2401
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Country | US
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Telephone | 330-677-4124
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Fax | 330-677-4134
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Provider Business Mailing Address
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Address Line | 150 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44481-1141
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Country | US
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Telephone | 330-399-6451
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Fax | 330-393-6029
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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