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General NPI Number Information
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NPI Number | 1992299382
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Entity Type | Individual
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Provider Name | SHABREE RAWLS LPC
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Gender | Female
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 1348 BROOKLINE RD APT A202
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City | CLEVELAND HTS
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State | OH
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Zip | 44121-2586
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Country | US
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Telephone | 419-961-9303
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Fax |
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Provider Business Mailing Address
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Address Line | 1348 BROOKLINE RD APT NOA202
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44121-2570
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Country | US
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Telephone | 419-961-9303
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C1801065-TRNE
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2002502
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License Number State | OH
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