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General NPI Number Information
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NPI Number | 1528192655
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Entity Type | Organization
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Legal Business Name | JEWISH FAMILY SERVICE ASSOCIATION
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 29125 CHAGRIN BLVD
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City | PEPPER PIKE
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State | OH
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Zip | 44122-4622
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Country | US
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Telephone | 216-292-3999
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Fax | 216-916-9126
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Provider Business Mailing Address
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Address Line | 29125 CHAGRIN BLVD.
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City | PEPPER PIKE
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State | OH
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Zip | 44122-4622
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Country | US
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Telephone | 216-504-6476
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Fax | 216-916-9147
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Authorized Official
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Title or Position | CFO / V.P.
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Name | MR. DAVID HLAVAC
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Credential |
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Telephone | 216-504-6408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 367770
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License Number State | OH
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