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General NPI Number Information
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NPI Number | 1679586408
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Entity Type | Organization
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Legal Business Name | EAST CLEVELAND NEIGHBORHOOD CENTER, INC.
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 2490 LEE BLVD SUITE 322
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City | CLEVELAND
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State | OH
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Zip | 44118-1268
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Country | US
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Telephone | 216-932-3626
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Fax | 216-932-3627
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Provider Business Mailing Address
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Address Line | 2490 LEE BLVD SUITE 322
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City | CLEVELAND
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State | OH
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Zip | 44118-1268
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Country | US
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Telephone | 216-932-3626
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Fax | 216-932-3627
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. THELMA SHEPHERD
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Credential | LISW
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Telephone | 216-932-3626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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