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General NPI Number Information
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NPI Number | 1831846047
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Entity Type | Organization
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Legal Business Name | ART OF CONNECTION LLC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 24100 CHAGRIN BLVD STE 370
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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 | 216-965-5620
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Fax |
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Provider Business Mailing Address
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Address Line | 23901 S WOODLAND RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-3311
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Country | US
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Telephone | 216-965-5620
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | JEFFREY ANDREW KARP
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Credential | PSY.D.
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Telephone | 216-965-5620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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