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General NPI Number Information
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NPI Number | 1699263046
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Entity Type | Individual
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Provider Name | CARL CLAUS MEYER LICDC-CS
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Gender | Male
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 11811 SHAKER BLVD
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City | CLEVELAND
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State | OH
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Zip | 44120-1931
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Country | US
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Telephone | 216-862-1084
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 RIDGEVIEW DR
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City | RICHFIELD
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State | OH
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Zip | 44286-9510
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Country | US
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Telephone | 440-570-5782
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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