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General NPI Number Information
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NPI Number | 1720632664
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Entity Type | Organization
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Legal Business Name | U CHANGE LLC
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 5726 SOUTHWYCK BLVD
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City | TOLEDO
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State | OH
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Zip | 43614-1559
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Country | US
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Telephone | 419-320-5452
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Fax |
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Provider Business Mailing Address
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Address Line | 5726 SOUTHWYCK BLVD STE 140
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City | TOLEDO
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State | OH
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Zip | 43614-1587
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Country | US
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Telephone | 419-320-5452
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LASHANNA ALFRED
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Credential | LISWS
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Telephone | 419-320-5452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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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