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General NPI Number Information
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NPI Number | 1174269120
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Entity Type | Individual
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Provider Name | XAVIER ANDRU JA'CEI CLOUD
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Gender |
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 101 S MAIN ST
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2055
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Country | US
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Telephone | 937-599-7235
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Fax |
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Provider Business Mailing Address
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Address Line | 1744 PAYNE AVE
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City | CLEVELAND
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State | OH
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Zip | 44114-2910
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Country | US
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Telephone | 216-623-6555
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | OH
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