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General NPI Number Information
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NPI Number | 1053262717
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Entity Type | Organization
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Legal Business Name | SMART CHOICE BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 12914 BROADWAY AVE FL 2
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-1859
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Country | US
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Telephone | 216-230-9245
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Fax | 216-239-0683
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Provider Business Mailing Address
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Address Line | 12914 BROADWAY AVE FL 2
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-1859
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Country | US
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Telephone | 216-230-9245
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Fax | 216-239-0683
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Authorized Official
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Title or Position | DIRCTOR
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Name | KENYATTA DENISE VANCE-ANDERSON
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Credential | FNP-C
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Telephone | 216-230-9245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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