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General NPI Number Information
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NPI Number | 1588544597
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Entity Type | Organization
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Legal Business Name | SYNCHRONIZED HEALTH AND RECOVERY
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 5001 MAYFIELD RD STE 112
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City | LYNDHURST
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State | OH
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Zip | 44124-2608
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Country | US
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Telephone | 216-233-4574
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32484
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City | EUCLID
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State | OH
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Zip | 44132-0484
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Country | US
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Telephone | 216-233-4574
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHASHONNA DUCKWORTH
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Credential |
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Telephone | 216-233-4574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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