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General NPI Number Information
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NPI Number | 1639146095
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Entity Type | Organization
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Legal Business Name | DOMESTIC VIOLENCE PROJECT, INC
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 720 19TH ST NE
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City | CANTON
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State | OH
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Zip | 44714-2213
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Country | US
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Telephone | 330-491-1351
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Fax | 330-491-9720
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Provider Business Mailing Address
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Address Line | PO BOX 9459
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City | CANTON
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State | OH
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Zip | 44711-9459
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Country | US
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Telephone | 330-445-2001
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Fax | 330-445-2007
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MELISSA L PEARCE
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Credential |
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Telephone | 330-445-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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