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General NPI Number Information
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NPI Number | 1932280880
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Entity Type | Individual
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Provider Name | SUZANNE ELLEN STEWART PALMISANO LPCC LICDC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 6500 ROCKSIDE RD SUITE 390
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2368
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Country | US
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Telephone | 216-524-2776
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Fax | 216-524-2778
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Provider Business Mailing Address
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Address Line | 6500 ROCKSIDE RD SUITE 390
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2368
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Country | US
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Telephone | 216-524-2776
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Fax | 216-524-2778
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 841098
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E2156
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License Number State | OH
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