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General NPI Number Information
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NPI Number | 1306393764
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Entity Type | Organization
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Legal Business Name | SAFY
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Dates
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Enumeration Date | 09/02/2016
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 20600 CHAGRIN BLVD, STE 900
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City | SHAKER
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-295-7239
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Fax |
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Provider Business Mailing Address
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Address Line | 20600 CHAGRIN BLVD
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City | BEACHWOOD
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State | OH
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Zip | 44122-5327
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Country | US
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Telephone | 216-295-7239
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Fax |
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Authorized Official
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Title or Position | C
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Name | MISS ALYSSA MARIE DRAGOLICH
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Credential | BSW
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Telephone | 440-527-4893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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