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General NPI Number Information
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NPI Number | 1285575761
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Entity Type | Organization
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Legal Business Name | PAMELA'S COZY COTTAGE RLLP
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 6713 SUPERIOR AVE
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City | CLEVELAND
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State | OH
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Zip | 44103-2631
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Country | US
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Telephone | 216-200-6254
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Fax |
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Provider Business Mailing Address
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Address Line | 25000 EUCLID AVE STE 108
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City | EUCLID
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State | OH
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Zip | 44117-2621
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Country | US
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Telephone | 216-200-6254
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EON R FAWCETT
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Credential |
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Telephone | 216-413-0890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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