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General NPI Number Information
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NPI Number | 1093662272
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Entity Type | Organization
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Legal Business Name | THE TEEN PARENT PLUG
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 1601 CYPRESS E
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City | AVON
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State | OH
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Zip | 44011-4024
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Country | US
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Telephone | 216-770-8830
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32
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City | AVON
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State | OH
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Zip | 44011-0032
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Country | US
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Telephone | 216-770-8830
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Fax |
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Authorized Official
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Title or Position | FOUNDER / CEO
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Name | LATANISHA WALKER WHITE
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Credential | CHW, DOULA
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Telephone | 216-650-1914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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