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General NPI Number Information
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NPI Number | 1720690050
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Entity Type | Organization
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Legal Business Name | TRANSCENDENT TELEMEDICINE PRACTICE LLC
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 5241 WILSON MILLS RD STE 35C
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-2150
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Country | US
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Telephone | 440-221-2449
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Fax | 440-448-4912
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Provider Business Mailing Address
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Address Line | 5241 WILSON MILLS RD STE 35C
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-2150
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Country | US
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Telephone | 440-221-2449
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Fax | 440-448-4912
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Authorized Official
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Title or Position | CEO
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Name | MS. LASHELLE HENDERSON
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Credential | MSN,FNP-BC, PMHNP-BC
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Telephone | 216-233-1983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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