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General NPI Number Information
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NPI Number | 1376113282
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Entity Type | Organization
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Legal Business Name | BFG CONSULTING AND MANAGEMENT
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 1115 PARKSIDE RD
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City | CLEVELAND
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State | OH
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Zip | 44108-2969
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Country | US
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Telephone | 216-862-3893
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Fax |
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Provider Business Mailing Address
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Address Line | 959 WHISPERING WOODS DR
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City | MACEDONIA
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State | OH
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Zip | 44056-2350
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Country | US
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Telephone | 216-209-1717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BIANCA GRIFFIN
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Credential | LICDC-CS, LPC
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Telephone | 216-209-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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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 | 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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