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General NPI Number Information
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NPI Number | 1861607590
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Entity Type | Individual
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Provider Name | JENNIFER STERN LISW
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ELLEN F CASPER PHD & ASSOCIATES 23250 CHAGRIN BLVD SUITE 425
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-464-4243
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Fax | 216-595-8210
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Provider Business Mailing Address
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Address Line | DR. ELLEN F. CASPER, PH.D. AND ASSOCIATES 23250 CHAGRIN BLVD SUITE 425
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-464-4243
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Fax | 216-595-8210
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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 | I.0700092
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License Number State | OH
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