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General NPI Number Information
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NPI Number | 1790188167
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Entity Type | Individual
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Provider Name | PATRICIA JEAN FERRERI-STAFFILENO
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Gender | Female
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 15600 PARKLAND DR
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-2529
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Country | US
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Telephone | 216-295-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 9311 WISNER RD
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City | CHARDON
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State | OH
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Zip | 44024-9606
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Country | US
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Telephone | 216-973-1815
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-1394
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License Number State | OH
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