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General NPI Number Information
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NPI Number | 1558027342
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Entity Type | Individual
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Provider Name | CEZAR DEON STEWART LCDCII.161795
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Gender | Male
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 01/05/2025
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Provider Practice Location Address
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Address Line | 665 W MARKET ST
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City | AKRON
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State | OH
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Zip | 44303-1438
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Country | US
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Telephone | 330-379-3467
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Fax | 330-379-3465
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Provider Business Mailing Address
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Address Line | 2643 ELMWOOD ST
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-2608
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Country | US
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Telephone | 330-705-3844
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCDCII.161795
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License Number State | OH
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