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General NPI Number Information
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NPI Number | 1023992260
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Entity Type | Organization
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Legal Business Name | NEW AVENUES TO INDEPENDENCE
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 495 ZORN LN
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City | MAYFIELD VILLAGE
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State | OH
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Zip | 44143-1526
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Country | US
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Telephone | 216-481-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 3615 SUPERIOR AVE E STE 4404
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City | CLEVELAND
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State | OH
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Zip | 44114-4138
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF QUALITY & COMPLIANCE
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Name | RICRISHA WALKER
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Credential |
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Telephone | 216-870-5214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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