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General NPI Number Information
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NPI Number | 1235828724
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Entity Type | Organization
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Legal Business Name | JBS LUNCH AND LITERACY OUTREACH CENTER FOR KIDS
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 6624 HARVARD AVE
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City | CLEVELAND
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State | OH
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Zip | 44105-4909
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Country | US
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Telephone | 216-355-7140
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Fax |
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Provider Business Mailing Address
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Address Line | 6624 HARVARD AVE
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City | CLEVELAND
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State | OH
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Zip | 44105-4909
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Country | US
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Telephone | 216-355-7140
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BARBARA BRADFORD
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Credential |
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Telephone | 216-355-7140
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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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