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General NPI Number Information
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NPI Number | 1194778092
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Entity Type | Organization
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Legal Business Name | GOLDEN CIPHERS
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2320 E 24TH ST
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City | CLEVELAND
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State | OH
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Zip | 44115-3112
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Country | US
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Telephone | 216-687-0000
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Fax | 216-687-9187
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Provider Business Mailing Address
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Address Line | 3337 CENTRAL AVE
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City | CLEVELAND
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State | OH
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Zip | 44115-3022
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Country | US
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Telephone | 216-687-0000
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Fax | 216-687-9187
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. PAMELA MONIQUE HUBBARD
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Credential | OCPSII
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Telephone | 216-687-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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