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General NPI Number Information
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NPI Number | 1922105576
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Entity Type | Individual
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Provider Name | ROSS S PLANOVSKY LISW
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Gender | Male
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 11565 PEARL RD STE 300
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City | STRONGSVILLE
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State | OH
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Zip | 44136-3356
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Country | US
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Telephone | 440-846-0862
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Fax |
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Provider Business Mailing Address
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Address Line | 23935 BEAUMONT DR
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-1579
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Country | US
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Telephone | 440-801-1085
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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 | I0700140
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License Number State | OH
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