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NPI Code Detail

MEDICARE: ADDISON FRANKLIN

MEDICARE: ADDISON FRANKLIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1477196798
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADDISON FRANKLIN
Provider Business Mailing Address
First Line : 9501 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4711
Country : US
Telephone Number : 571-265-5468
Fax Number :
Provider Business Practice Location Address
First Line : 9501 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4711
Country : US
Telephone Number : 571-265-5468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2019
Last Update Date : 07/13/2020

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Directions to “ ADDISON FRANKLIN ” Practice Location

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