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General NPI Number Information
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NPI Number | 1447047006
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Entity Type | Organization
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Legal Business Name | OTTAVO HEALTH OH, LLC
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 26250 EUCLID AVE STE 912
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City | EUCLID
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State | OH
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Zip | 44132-3305
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Country | US
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Telephone | 216-373-2090
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Fax |
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Provider Business Mailing Address
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Address Line | C/O HEYMANS LLC 10290 WEST ATLANTIC AVENUE #480065
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City | DELRAY BEACH
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State | FL
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Zip | 33448
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Country | US
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Telephone | 347-866-3663
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JONATHAN LINDENBLATT
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Credential |
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Telephone | 347-866-3663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 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 #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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