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General NPI Number Information
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NPI Number | 1902273691
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Entity Type | Individual
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Provider Name | CHELSEA ANNE SCHOONOVER LISW, LCDC III
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Gender | Female
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-5925
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Country | US
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Telephone | 216-644-4949
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Fax |
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Provider Business Mailing Address
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Address Line | 377 BEAUMONT DR
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City | FAIRLAWN
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State | OH
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Zip | 44333-3207
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Country | US
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Telephone | 440-231-2156
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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 | S.1510169-TRNE
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License Number State | OH
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