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General NPI Number Information
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NPI Number | 1861931396
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Entity Type | Individual
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Provider Name | PAMELA L HSU LISW-S
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Gender | Female
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 8500 STATION ST STE 102
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City | MENTOR
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State | OH
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Zip | 44060-4968
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Country | US
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Telephone | 216-245-7811
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Fax |
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Provider Business Mailing Address
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Address Line | 1587 E 31ST ST #205
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City | CLEVELAND
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State | OH
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Zip | 44114-4366
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1800797
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.1502317
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License Number State | OH
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