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General NPI Number Information
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NPI Number | 1538761374
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Entity Type | Organization
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Legal Business Name | THE MARY MAVEC OPPORTUNITY SCHOOL OF EUCLID, INC.
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 21701 LAKE SHORE BLVD
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City | EUCLID
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State | OH
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Zip | 44123-1739
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Country | US
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Telephone | 216-731-4666
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Fax |
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Provider Business Mailing Address
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Address Line | 21701 LAKE SHORE BLVD
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City | EUCLID
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State | OH
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Zip | 44123-1739
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Country | US
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Telephone | 216-731-4666
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. VICKY ANN GEER
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Credential |
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Telephone | 216-731-4666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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