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General NPI Number Information
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NPI Number | 1619382256
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Entity Type | Individual
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Provider Name | KEVIN MCGRATH MSW, LSW
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Gender | Male
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 5706 TURNEY RD
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-3971
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Country | US
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Telephone | 216-644-1701
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Fax |
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Provider Business Mailing Address
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Address Line | 202 E BAGLEY RD
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City | BEREA
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State | OH
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Zip | 44017-2058
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1440357
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License Number State | OH
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