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General NPI Number Information
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NPI Number | 1386609857
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Entity Type | Organization
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Legal Business Name | CIRCLE HEALTH SERVICES
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 12201 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-707-3408
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Fax | 216-707-3528
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Provider Business Mailing Address
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Address Line | 12201 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-707-3408
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Fax | 216-707-3528
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Authorized Official
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Title or Position | CFO
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Name | MS. CHRISTINE GAMBATESE
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Credential | CPA
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Telephone | 440-667-9805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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