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General NPI Number Information
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NPI Number | 1205337565
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Entity Type | Organization
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Legal Business Name | BELLEFAIRE JEWISH CHILDREN'S BUREAU
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 807 E WASHINGTON ST STE 150
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City | MEDINA
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State | OH
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Zip | 44256-3339
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Country | US
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Telephone | 330-241-4444
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Fax | 330-721-0013
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Provider Business Mailing Address
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Address Line | 22001 FAIRMOUNT BLVD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44118-4819
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Country | US
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Telephone | 216-320-8222
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Fax | 216-320-8733
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | LEIGH JOHNSON
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Credential |
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Telephone | 216-320-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2447
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 01-0009
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License Number State | OH
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