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General NPI Number Information
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NPI Number | 1174752794
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Entity Type | Organization
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Legal Business Name | CLEVELAND FEEDING AND SWALLOWING CENTER LLC
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 835 SHARON DRIVE SUITE 280
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City | WESTLAKE
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State | OH
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Zip | 44145-2020
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Country | US
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Telephone | 216-320-2456
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Fax | 216-250-8404
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Provider Business Mailing Address
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Address Line | 835 SHARON DRIVE SUITE 280
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City | WESTLAKE
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State | OH
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Zip | 44145-2020
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Country | US
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Telephone | 216-320-2456
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Fax | 216-250-8404
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Authorized Official
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Title or Position | CEO
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Name | MS. ESTHER A.L. VERBOVSZKY
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Credential | M.A.
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Telephone | 216-320-2456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4075
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License Number State | OH
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