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General NPI Number Information
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NPI Number | 1568881803
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Entity Type | Organization
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Legal Business Name | BROADWAY ACADEMY, INC.
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 5004 GLAZIER AVE
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City | CLEVELAND
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State | OH
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Zip | 44127-1111
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Country | US
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Telephone | 216-271-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 5004 GLAZIER AVE
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City | CLEVELAND
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State | OH
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Zip | 44127-1111
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Country | US
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Telephone | 216-271-7747
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Fax |
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Authorized Official
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Title or Position | FISCAL OFFICER
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Name | CHRISTOPHER DAVID MASSA
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Credential |
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Telephone | 330-515-0572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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