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General NPI Number Information
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NPI Number | 1477575348
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Entity Type | Organization
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Legal Business Name | SIGNATURE HEALTH, INC
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 38876 MENTOR AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-7931
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Country | US
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Telephone | 440-953-9999
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Fax | 440-918-3839
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Provider Business Mailing Address
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Address Line | 38876 MENTOR AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-7931
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Country | US
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Telephone | 440-953-9999
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Fax | 440-918-3839
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Authorized Official
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Title or Position | CEO
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Name | MR. JONATHAN ALBERT LEE
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Credential |
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Telephone | 440-953-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 293D00000X
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Taxonomy Name | Physiological Laboratory
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0467
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License Number State | OH
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