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General NPI Number Information
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NPI Number | 1881007755
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Entity Type | Organization
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Legal Business Name | ABUSE & TRAUMA TREATMENT CENTER FOR WOMEN
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Dates
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Enumeration Date | 06/08/2014
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Last Update Date | 06/08/2014
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Provider Practice Location Address
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Address Line | 8322 STATE ROUTE 305
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City | GARRETTSVILLE
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State | OH
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Zip | 44231-9734
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Country | US
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Telephone | 216-780-5068
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Fax |
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Provider Business Mailing Address
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Address Line | 8322 STATE ROUTE 305
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City | GARRETTSVILLE
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State | OH
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Zip | 44231-9734
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Country | US
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Telephone | 216-780-5068
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST/OWNE
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Name | DR. MARSHA EF HEIDEN
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Credential | PHD
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Telephone | 216-780-5068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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