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General NPI Number Information
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NPI Number | 1093501959
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Entity Type | Organization
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Legal Business Name | WEST EXPRESS WEIGHT LOSS COMPANY
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 4620 BRADFORD RD
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City | CLEVELAND
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State | OH
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Zip | 44121-3851
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Country | US
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Telephone | 216-316-7366
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Fax |
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Provider Business Mailing Address
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Address Line | 4620 BRADFORD RD
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City | CLEVELAND
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State | OH
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Zip | 44121-3851
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Country | US
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Telephone | 216-316-7366
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | CHARLETHEA WEST
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Credential | NP
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Telephone | 216-374-9519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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