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General NPI Number Information
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NPI Number | 1790701233
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Entity Type | Individual
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Provider Name | PATRICIA A. SCHAFER PCC-S, LICDC
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Gender | Female
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 04/07/2010
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Provider Practice Location Address
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Address Line | 29525 CHAGRIN BLVD 202
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City | BEACHWOOD
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State | OH
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Zip | 44122-4644
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Country | US
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Telephone | 440-349-4521
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Fax | 440-349-4521
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Provider Business Mailing Address
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Address Line | 32300 TRACY LN
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City | SOLON
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State | OH
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Zip | 44139-2010
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Country | US
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Telephone | 440-349-4521
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Fax | 440-349-4521
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 011111
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E4294
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License Number State | OH
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