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General NPI Number Information
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NPI Number | 1417373705
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Entity Type | Organization
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Legal Business Name | THE CENTERS FOR FAMILIES AND CHILDREN
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 4400 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44103-3734
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Country | US
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Telephone | 216-325-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44103-3734
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Country | US
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Telephone | 216-325-9300
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Fax |
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Authorized Official
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Title or Position | CPO
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Name | MR. JAMES PENMAN
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Credential |
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Telephone | 216-325-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 03120490
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License Number State | OH
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