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General NPI Number Information
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NPI Number | 1730196494
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Entity Type | Individual
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Provider Name | SCOTT DAVID SCHLACHTER LISW
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 03/09/2024
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Provider Practice Location Address
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Address Line | 7547 MENTOR AVE SUITE 106
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City | MENTOR
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State | OH
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Zip | 44060
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Country | US
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Telephone | 440-951-6810
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Fax | 440-951-1507
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Provider Business Mailing Address
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Address Line | 23175 COMMERCE PARK STE B
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City | BEACHWOOD
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State | OH
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Zip | 44122-5806
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Country | US
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Telephone | 216-544-5852
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Fax | 216-378-8900
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I0004633
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License Number State | OH
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