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General NPI Number Information
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NPI Number | 1992904056
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Entity Type | Individual
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Provider Name | HOPE JAMES LISW
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 6724 WALES AVE NW
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City | MASSILLON
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State | OH
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Zip | 44646-9006
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Country | US
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Telephone | 330-837-4264
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Fax | 330-837-9195
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Provider Business Mailing Address
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Address Line | PO BOX 932909
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City | CLEVELAND
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State | OH
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Zip | 44193-0026
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Country | US
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Telephone | 330-854-4281
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Fax | 330-854-0032
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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 | 0009979
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License Number State | OH
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