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General NPI Number Information
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NPI Number | 1588993471
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Entity Type | Individual
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Provider Name | MOLLY SIMKINS SLUK MA
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Gender | Female
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 12429 CEDAR RD STE 7
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44106-3172
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Country | US
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Telephone | 206-790-2364
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Fax | 888-972-7936
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Provider Business Mailing Address
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Address Line | 3256 ORMOND RD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-3416
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Country | US
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Telephone | 206-790-2364
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Fax | 888-972-7936
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF60402154
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | F.1800045
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License Number State | OH
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