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General NPI Number Information
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NPI Number | 1588089239
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Entity Type | Individual
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Provider Name | ROBERT A. MCENTEE M.A., SLP
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Gender | Male
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 1111 SUPERIOR AVENUE EAST, SUITE 1800 CLEVELAND METROPOLITAN SCHOOL DISTRICT
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City | CLEVELAND
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State | OH
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Zip | 44114
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Country | US
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Telephone | 216-838-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 15741 LEIGH ELLEN AVE
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City | CLEVELAND
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State | OH
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Zip | 44135-1341
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Country | US
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Telephone | 216-392-0242
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP-4416
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License Number State | OH
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