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NPI 1346079423

NPI 1346079423 : CHEVE FRIERSON : CLEVELAND, OH

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General NPI Number Information
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    NPI Number           |    1346079423
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    Entity Type          |    Individual 
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    Provider Name        |    CHEVE FRIERSON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2024
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    815 SUPERIOR AVE E STE 1618 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44114-2709
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    Country              |    US
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    Telephone            |    216-209-8799
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15503 EDGEWOOD AVE # 204 
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    City                 |    MAPLE HEIGHTS
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    State                |    OH
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    Zip                  |    44137-3907
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    Country              |    US
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    Telephone            |    216-209-8799
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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        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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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        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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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        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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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        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    OH
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Taxonomy #6
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    Taxonomy Code        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    186919
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    License Number State |    OH
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