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General NPI Number Information
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NPI Number | 1396429122
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Entity Type | Organization
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Legal Business Name | EMPOWER DW CORP
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 4705 STATE RD
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City | CLEVELAND
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State | OH
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Zip | 44109-5244
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Country | US
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Telephone | 440-468-6550
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Fax | 216-291-7683
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Provider Business Mailing Address
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Address Line | 4705 STATE RD
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City | CLEVELAND
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State | OH
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Zip | 44109-5244
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Country | US
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Telephone | 440-558-7970
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MICHELLE LYNN MARINI-REINOSA
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Credential | CDCA
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Telephone | 440-468-6550
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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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