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General NPI Number Information
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NPI Number | 1003522830
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Entity Type | Organization
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Legal Business Name | BILECI LLC
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 308 S STATE ST
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City | PAINESVILLE
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State | OH
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Zip | 44077-3532
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Country | US
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Telephone | 440-321-0974
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Fax | 440-354-2030
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Provider Business Mailing Address
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Address Line | 11585 BLACKBERRY LN
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City | CHESTERLAND
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State | OH
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Zip | 44026-1508
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Country | US
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Telephone | 440-321-0974
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY BILECI-COCCA
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Credential |
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Telephone | 440-321-0974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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