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General NPI Number Information
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NPI Number | 1831514694
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Entity Type | Individual
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Provider Name | EILEEN ROHAN M.S., C.A.S.
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Gender | Female
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 2200 E 55TH ST
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City | CLEVELAND
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State | OH
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Zip | 44103-4406
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Country | US
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Telephone | 216-404-5642
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Fax |
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Provider Business Mailing Address
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Address Line | 40 DELAWARE AVE
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City | HORNELL
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State | NY
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Zip | 14843-2057
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Country | US
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Telephone | 607-382-9839
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 20944927
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License Number State | OH
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