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General NPI Number Information
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NPI Number | 1306706346
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Entity Type | Individual
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Provider Name | TANISHA JAMISON AA.CDA
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 5171 MAYFIELD RD
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City | LYNDHURST
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State | OH
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Zip | 44124-2405
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Country | US
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Telephone | 440-488-7341
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Fax | 440-683-4227
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Provider Business Mailing Address
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Address Line | 628 CHARLES PL
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City | HIGHLAND HEIGHTS
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State | OH
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Zip | 44143-1948
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Country | US
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Telephone | 440-488-7341
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Fax | 440-488-7341
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | OH
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