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General NPI Number Information
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NPI Number | 1720731425
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Entity Type | Organization
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Legal Business Name | JESSICA HORVAT AND ASSOCIATES
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 12417 CEDAR RD STE 21
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City | CLEVELAND HTS
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State | OH
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Zip | 44106-3157
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Country | US
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Telephone | 216-288-6560
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 CROYDEN RD
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City | LYNDHURST
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State | OH
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Zip | 44124-1417
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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 | PSYCHOTHERAPIST
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Name | JESSICA HORVAT
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Credential | LISW-S
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Telephone | 216-288-6560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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