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General NPI Number Information
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NPI Number | 1396433884
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Entity Type | Organization
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Legal Business Name | THE ATTAWAY COMPANY
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 3785 E 142ND ST
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City | CLEVELAND
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State | OH
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Zip | 44128-1006
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Country | US
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Telephone | 440-264-3584
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 43183
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-0183
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Country | US
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Telephone | 440-264-3584
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ALFRED CHRIS ATTAWAY JR.
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Credential |
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Telephone | 440-264-3584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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