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General NPI Number Information
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NPI Number | 1336043132
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Entity Type | Organization
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Legal Business Name | 28 FOUNDATIONS EMPOWERED CORP
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 3635 E 61ST ST
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City | CLEVELAND
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State | OH
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Zip | 44105-1207
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Country | US
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Telephone | 216-527-5765
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27437
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City | CLEVELAND
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State | OH
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Zip | 44127-0437
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Country | US
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Telephone | 216-322-3818
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JENNIFER YOUNG
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Credential |
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Telephone | 216-322-3818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | NULL
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