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General NPI Number Information
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NPI Number | 1376135665
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Entity Type | Organization
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Legal Business Name | CLE OCCUPATIONAL THERAPY LLC
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 10574 RAVENNA RD STE 1B
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City | TWINSBURG
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State | OH
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Zip | 44087-3104
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Country | US
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Telephone | 440-710-4095
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Fax | 440-794-7140
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Provider Business Mailing Address
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Address Line | 10574 RAVENNA RD STE 1B
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City | TWINSBURG
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State | OH
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Zip | 44087-3104
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Country | US
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Telephone | 440-710-4095
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Fax | 440-710-4095
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Authorized Official
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Title or Position | OWNER
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Name | MR. RYAN WILLIAM MORGAN
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Credential |
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Telephone | 440-710-4095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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