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General NPI Number Information
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NPI Number | 1568537066
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Entity Type | Individual
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Provider Name | PHIL JOHN FLAUTO LPCC-S
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 34900 CHARDON RD STE 200
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094-9161
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Country | US
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Telephone | 216-468-5000
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Fax | 216-456-8128
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Provider Business Mailing Address
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Address Line | 11246 KINSMAN RD
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City | NEWBURY
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State | OH
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Zip | 44065-9676
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Country | US
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Telephone | 440-285-3568
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Fax | 440-285-4552
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.0004283-SUPV
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License Number State | OH
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