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General NPI Number Information
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NPI Number | 1215711684
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE YOUNG MEN'S CHRISTIAN ASSOCIATION
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 1301 CLAIRMONT AVE
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City | CAMBRIDGE
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State | OH
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Zip | 43725-1613
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Country | US
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Telephone | 740-432-4600
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Fax | 740-439-2598
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Provider Business Mailing Address
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Address Line | 1301 CLAIRMONT AVE
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City | CAMBRIDGE
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State | OH
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Zip | 43725-1613
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Country | US
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Telephone | 740-432-4600
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Fax | 740-439-2598
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Authorized Official
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Title or Position | MEMBERSHIP DIRECTOR
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Name | BRITTANY MATTHEWS
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Credential |
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Telephone | 740-432-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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