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General NPI Number Information
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NPI Number | 1053864850
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Entity Type | Organization
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Legal Business Name | EMPOWERING INTEGRATED CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 25221 MILES RD STE H
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City | WARRENSVILLE HEIGHTS
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State | OH
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Zip | 44128-5474
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Country | US
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Telephone | 216-532-3427
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Fax | 216-502-2803
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Provider Business Mailing Address
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Address Line | 25221 MILES RD STE H
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City | WARRENSVILLE HEIGHTS
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State | OH
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Zip | 44128-5474
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Country | US
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Telephone | 216-532-3427
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Fax | 216-502-2803
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Authorized Official
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Title or Position | CEO
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Name | PATRICIA LYNN BERGER
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Credential |
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Telephone | 216-532-3427
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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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