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General NPI Number Information
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NPI Number | 1760208383
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Entity Type | Organization
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Legal Business Name | HEALTH EXPRESS BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 1400 W PLEASANT VALLEY RD
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City | PARMA
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State | OH
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Zip | 44134-6720
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Country | US
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Telephone | 440-882-6595
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 W PLEASANT VALLEY RD
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City | PARMA
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State | OH
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Zip | 44134-6720
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Country | US
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Telephone | 440-882-6595
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABDALLAH ALI
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Credential | MD
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Telephone | 440-488-7351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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