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General NPI Number Information
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NPI Number | 1750263216
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Entity Type | Organization
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Legal Business Name | CELIN CARABALLO LLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2709 FRANKLIN BLVD FL 2E
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City | CLEVELAND
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State | OH
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Zip | 44113-2993
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Country | US
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Telephone | 216-696-4140
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Fax |
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Provider Business Mailing Address
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Address Line | 2709 FRANKLIN BLVD FL 2E
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City | CLEVELAND
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State | OH
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Zip | 44113-2993
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Country | US
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Telephone | 216-696-4140
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Fax |
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Authorized Official
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Title or Position | TAX ID OWNER
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Name | CELIN CARABALLO
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Credential | CNP
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Telephone | 440-342-8679
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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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