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General NPI Number Information
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NPI Number | 1366635286
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Entity Type | Organization
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Legal Business Name | KEY DECISIONS INC
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 3030 EUCLID AVE SUITE 410
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City | CLEVELAND
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State | OH
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Zip | 44115-2530
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Country | US
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Telephone | 216-391-0977
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Fax | 216-391-0978
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Provider Business Mailing Address
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Address Line | PO BOX 10844
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City | CLEVELAND
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State | OH
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Zip | 44110-0844
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Country | US
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Telephone | 216-391-0977
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Fax | 216-391-0978
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Authorized Official
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Title or Position | OWNER
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Name | MR. OWEN R TAYLOR
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Credential | LICDC
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Telephone | 216-391-0977
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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 | OH
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