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General NPI Number Information
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NPI Number | 1609683747
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Entity Type | Organization
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Legal Business Name | NEW AVENUES TO INDEPENDENCE, INC.
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 495 ZORN LANE
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City | MAYFIELD VILLAGE
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State | OH
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Zip | 44143
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Country | US
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Telephone | 216-339-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 3615 SUPERIOR AVENUE EAST BUILDING 4404A
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City | CLEVELAND
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State | OH
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Zip | 44114
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Country | US
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Telephone | 216-339-6008
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MELANIE CARNES
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Credential |
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Telephone | 216-339-6008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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