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General NPI Number Information
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NPI Number | 1255707337
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Entity Type | Organization
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Legal Business Name | STEADFAST HEALTH SERVICES
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Dates
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Enumeration Date | 08/12/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3582 E 154TH ST
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City | CLEVELAND
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State | OH
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Zip | 44120-4914
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Country | US
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Telephone | 216-510-7941
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Fax | 855-787-3052
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Provider Business Mailing Address
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Address Line | 16781 CHAGRIN BLVD 168
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City | SHAKER HTS
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State | OH
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Zip | 44120-3721
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Country | US
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Telephone | 216-510-7941
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Fax | 216-510-7948
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LATOYA JACKSON
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Credential |
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Telephone | 216-482-1940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 189795
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License Number State | OH
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