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General NPI Number Information
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NPI Number | 1891465621
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Entity Type | Individual
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Provider Name | CLARE CONWAY LPCC, ATR, RYT
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 11328 EUCLID AVE APT 203
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City | CLEVELAND
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State | OH
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Zip | 44106-3978
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Country | US
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Telephone | 216-453-8073
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Fax |
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Provider Business Mailing Address
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Address Line | 6200 FIR AVE
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City | CLEVELAND
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State | OH
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Zip | 44102-3913
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Country | US
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Telephone | 440-426-2000
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 21-044
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E.2303454
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License Number State | OH
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