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General NPI Number Information
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NPI Number | 1972801256
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Entity Type | Individual
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Provider Name | STEPHANIE J SENTER LISW-S
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Gender | Female
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 22001 FAIRMOUNT BLVD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44118-4819
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Country | US
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Telephone | 216-320-8487
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Fax | 216-320-8738
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Provider Business Mailing Address
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Address Line | 19219 DAVINWOOD DR
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City | CLEVELAND
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State | OH
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Zip | 44135-1011
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Country | US
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Telephone | 216-267-5452
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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 | I8054-S
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License Number State | OH
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