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General NPI Number Information
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NPI Number | 1699805010
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Entity Type | Organization
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Legal Business Name | ZINAIDA LEBEDEVA MD LLC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/26/2007
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Provider Practice Location Address
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Address Line | 8228 MAYFIELD RD SUITE 2B
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City | CHESTERLAND
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State | OH
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Zip | 44026-2594
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Country | US
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Telephone | 440-729-2518
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Fax |
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Provider Business Mailing Address
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Address Line | 8228 MAYFIELD RD SUITE 2B
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City | CHESTERLAND
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State | OH
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Zip | 44026-2594
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Country | US
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Telephone | 440-729-2518
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZINAIDA LEBEDEVA
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Credential | MD
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Telephone | 440-729-2518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35076360
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License Number State | OH
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