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General NPI Number Information
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NPI Number | 1316798168
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Entity Type | Individual
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Provider Name | AVIS RIAS
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Gender | Female
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 3776 MONTEVISTA RD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44121-1615
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Country | US
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Telephone | 216-548-1974
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Fax |
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Provider Business Mailing Address
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Address Line | 3776 MONTEVISTA RD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44121-1615
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Country | US
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Telephone | 216-282-5761
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Fax |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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