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General NPI Number Information
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NPI Number | 1912395476
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Entity Type | Individual
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Provider Name | SHERI RAMONA STEVENS MSSA LISW-S
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Gender | Female
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 2101 RICHMOND RD STE 1005
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City | BEACHWOOD
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State | OH
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Zip | 44122-1390
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Country | US
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Telephone | 216-379-3865
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Fax |
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Provider Business Mailing Address
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Address Line | 13940 CEDAR RD. #248
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City | UNIVERSITY HTS
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State | OH
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Zip | 44118-3204
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Country | US
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Telephone | 216-379-3865
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | I-2102742-SUPV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | S 0023362
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License Number State | OH
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