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General NPI Number Information
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NPI Number | 1659303378
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Entity Type | Individual
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Provider Name | DEBORAH L. ROSS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 15 HYDE PARK
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City | BEACHWOOD
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State | OH
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Zip | 44122-7536
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Country | US
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Telephone | 440-460-1500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 660
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City | MENTOR
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State | OH
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Zip | 44061-0660
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Country | US
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Telephone | 440-460-1500
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2675
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License Number State | OH
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