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General NPI Number Information
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NPI Number | 1477424232
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Entity Type | Organization
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Legal Business Name | PREVENTIVE HEALTHCARE DIRECT
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 5676 MAYFIELD RD
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City | LYNDHURST
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State | OH
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Zip | 44124-2916
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Country | US
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Telephone | 216-482-7237
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Fax | 216-243-9249
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Provider Business Mailing Address
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Address Line | 5676 MAYFIELD RD
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City | LYNDHURST
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State | OH
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Zip | 44124-2916
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Country | US
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Telephone | 216-482-7237
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Fax | 216-243-9249
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA BRAY
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Credential | FNP
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Telephone | 216-536-0551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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