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General NPI Number Information
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NPI Number | 1629447420
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Entity Type | Individual
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Provider Name | PEGGY ARMBRUSTER LISW
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Gender | Female
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 921 STATE ST
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City | VERMILION
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State | OH
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Zip | 44089-1203
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Country | US
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Telephone | 440-427-4058
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Fax | 440-967-9436
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Provider Business Mailing Address
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Address Line | 7555 HERITAGE WAY
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City | AMHERST
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State | OH
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Zip | 44001-9800
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Country | US
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Telephone | 440-427-4058
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Fax | 440-967-9436
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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 | I.2405820
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I2405820
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License Number State | OH
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