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General NPI Number Information
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NPI Number | 1245614858
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Entity Type | Organization
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Legal Business Name | NH ZINAIDA LEBEDEVA MD LLC
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 8020 BIRCHWOOD DR
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City | CHESTERLAND
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State | OH
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Zip | 44026-3056
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Country | US
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Telephone | 216-339-1387
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Fax |
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Provider Business Mailing Address
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Address Line | 8020 BIRCHWOOD DR
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City | CHESTERLAND
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State | OH
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Zip | 44026-3056
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Country | US
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Telephone | 216-339-1387
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZINAIDA LEBEDEVA
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Credential | MD
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Telephone | 216-339-1387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 35-076360
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License Number State | OH
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