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General NPI Number Information
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NPI Number | 1114639861
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Entity Type | Organization
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Legal Business Name | RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2020 TAYLOR RD
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City | CLEVELAND
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State | OH
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Zip | 44112-2963
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Country | US
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Telephone | 216-200-6552
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Fax | 866-611-2650
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Provider Business Mailing Address
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Address Line | PO BOX 32028
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City | EUCLID
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State | OH
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Zip | 44132-0028
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Country | US
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Telephone | 216-200-6552
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Fax | 866-611-2650
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM ADRIAN BLACKWELL
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Credential | MD
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Telephone | 216-200-6552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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