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General NPI Number Information
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NPI Number | 1801114087
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Entity Type | Organization
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Legal Business Name | HEARTH CONSULTANTS LLC
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 29525 CHAGRIN BLVD SUITE 303
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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 | 216-533-1391
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Fax | 216-283-9335
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Provider Business Mailing Address
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Address Line | 29525 CHAGRIN BLVD SUITE 303
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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 | 216-533-1391
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Fax | 216-283-9335
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. PAMELA L GLEISSER
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Credential | LISW-S
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Telephone | 216-533-1391
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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 | I1984
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License Number State | OH
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