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General NPI Number Information
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NPI Number | 1679428585
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Entity Type | Organization
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Legal Business Name | SELFY BRANDS
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 23317 BEACHWOOD BLVD
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City | BEACHWOOD
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State | OH
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Zip | 44122-1476
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Country | US
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Telephone | 216-218-9545
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Fax |
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Provider Business Mailing Address
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Address Line | 23317 BEACHWOOD BLVD
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City | BEACHWOOD
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State | OH
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Zip | 44122-1476
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Country | US
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Telephone | 216-218-9545
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OCTAVIA BOYKIN
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Credential | SWK, MOD
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Telephone | 216-215-6901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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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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