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General NPI Number Information
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NPI Number | 1811029879
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Entity Type | Individual
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Provider Name | KIRSTEN ANN HANDLER MSED, LSW
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 15200 MADISON AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-4019
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Country | US
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Telephone | 440-260-6107
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Fax |
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Provider Business Mailing Address
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Address Line | 2181 WATERBURY RD
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City | LAKEWOOD
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State | OH
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Zip | 44107-6223
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Country | US
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Telephone | 216-571-1990
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S19255
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License Number State | OH
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