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General NPI Number Information
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NPI Number | 1730397282
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Entity Type | Organization
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Legal Business Name | LAKE COUNTY FREE CLINIC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 462 CHARDON ST
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City | PAINESVILLE
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State | OH
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Zip | 44077-3019
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Country | US
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Telephone | 440-352-8686
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Fax | 440-352-8107
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Provider Business Mailing Address
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Address Line | 462 CHARDON ST
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City | PAINESVILLE
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State | OH
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Zip | 44077-3019
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Country | US
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Telephone | 440-352-8686
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Fax | 440-352-8107
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MEREDITH H FRATANTONIO
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Credential | MPH
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Telephone | 440-352-8686
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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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