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NPI 1972223527

NPI 1972223527 : CASSIDY JANE DEL VALLE : WOOSTER, OH

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General NPI Number Information
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    NPI Number           |    1972223527
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    Entity Type          |    Individual 
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    Provider Name        |    CASSIDY JANE DEL VALLE
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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     |    06/04/2025
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Provider Practice Location Address
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    Address Line         |    2000 NOBLE DR 
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    City                 |    WOOSTER
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    State                |    OH
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    Zip                  |    44691-5353
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    Country              |    US
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    Telephone            |    330-264-3232
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    Fax                  |    330-264-3879
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Provider Business Mailing Address
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    Address Line         |    2000 NOBLE DR 
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    City                 |    WOOSTER
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    State                |    OH
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    Zip                  |    44691-5353
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    Country              |    US
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    Telephone            |    330-439-8492
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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        |    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 #2
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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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Taxonomy #3
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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 #4
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    S.2411384
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    License Number State |    OH
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