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General NPI Number Information
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NPI Number | 1235055252
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Entity Type | Organization
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Legal Business Name | BLUE JAYS WAY,LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 1 MAIN ST N UNIT B
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City | NAVARRE
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State | OH
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Zip | 44662-1268
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Country | US
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Telephone | 330-324-2086
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Fax |
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Provider Business Mailing Address
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Address Line | 36 WOOSTER ST NE
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City | NAVARRE
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State | OH
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Zip | 44662-1044
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | NICHOLAS POWELL
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Credential |
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Telephone | 330-324-2086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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