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General NPI Number Information
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NPI Number | 1215873666
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Entity Type | Organization
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Legal Business Name | NEXT PLAY DEVELOPMENT. LLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 4156 E 151ST ST
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City | CLEVELAND
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State | OH
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Zip | 44128-1924
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Country | US
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Telephone | 307-500-3581
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N GOULD ST STE R
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone | 307-500-3581
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | SHAWNTAYE N TAYLOR
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Credential | TAYLOR
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Telephone | 216-414-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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