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General NPI Number Information
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NPI Number | 1932829595
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Entity Type | Individual
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Provider Name | SELA GILBERT LSW
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Gender | Female
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 13202 GRANGER RD
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City | CLEVELAND
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State | OH
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Zip | 44125
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Country | US
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Telephone | 440-234-2006
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Fax |
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Provider Business Mailing Address
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Address Line | 343 W BAGLEY RD STE 300
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City | BEREA
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State | OH
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Zip | 44017-1357
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Country | US
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Telephone |
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.2411066
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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