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General NPI Number Information
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NPI Number | 1922147677
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Entity Type | Individual
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Provider Name | JOSEPHINE SHELTON-TOWNES LISW,SAP
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20620 N PARK BLVD SUITE 201
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44118-4519
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Country | US
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Telephone | 216-374-7836
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Fax | 216-831-2011
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Provider Business Mailing Address
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Address Line | 23306 FERNWOOD DR
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City | BEACHWOOD
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State | OH
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Zip | 44122-1514
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Country | US
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Telephone | 216-831-2011
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Fax | 216-831-2011
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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 | I 0004753
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License Number State | OH
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