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General NPI Number Information
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NPI Number | 1366236200
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Entity Type | Organization
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Legal Business Name | UNITED STATES TELEPATHY
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2867 MAYFIELD RD APT 1
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-2050
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Country | US
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Telephone | 216-314-7571
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Fax |
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Provider Business Mailing Address
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Address Line | 2867 MAYFIELD RD APT 1
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-2050
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Country | US
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Telephone | 216-314-7571
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Fax |
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Authorized Official
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Title or Position | XAVIER6
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Name | PROF. XAVIER DIRELL WILLIS
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Credential |
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Telephone | 216-314-7571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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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 | 305S00000X
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Taxonomy Name | Point of Service
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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 | 344800000X
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Taxonomy Name | Air Carrier
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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 | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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