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General NPI Number Information
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NPI Number | 1679129001
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Entity Type | Organization
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Legal Business Name | NORTHCOAST HCM LTD.
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 23611 CHAGRIN BLVD STE 380
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City | BEACHWOOD
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State | OH
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Zip | 44122-5540
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Country | US
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Telephone | 216-591-2025
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Fax |
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Provider Business Mailing Address
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Address Line | 23611 CHAGRIN BLVD STE 380
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City | BEACHWOOD
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State | OH
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Zip | 44122-5540
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Country | US
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Telephone | 216-591-2025
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | LEE PASSELL
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Credential |
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Telephone | 216-591-2025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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