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General NPI Number Information
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NPI Number | 1790229920
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Entity Type | Organization
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Legal Business Name | DEBORAH A ISAAK-SHAPIRO
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 24100 CHAGRIN BLVD
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City | BEACHWOOD
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State | OH
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Zip | 44122-5535
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Country | US
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Telephone | 440-903-7965
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Fax | 216-308-0698
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Provider Business Mailing Address
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Address Line | 24100 CHAGRIN BLVD
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City | BEACHWOOD
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State | OH
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Zip | 44122-5535
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Country | US
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Telephone | 440-903-7965
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Fax | 216-308-0698
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH A ISAAK-SHAPIRO
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Credential | LISW-S
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Telephone | 440-903-7965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | I1101660
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License Number State | OH
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