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General NPI Number Information
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NPI Number | 1801367057
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Entity Type | Organization
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Legal Business Name | COMMUNITY RESOURCE COALITION FOR INDEPENDENCE
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 2959 FALLEHN DR
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City | CORTLAND
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State | OH
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Zip | 44410-9170
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Country | US
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Telephone | 330-310-4982
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Fax | 877-424-9655
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Provider Business Mailing Address
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Address Line | 143 BOARDMAN CANFIELD RD STE 321
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City | BOARDMAN
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State | OH
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Zip | 44512-4804
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Country | US
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Telephone | 330-310-4982
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Fax | 877-424-9655
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Authorized Official
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Title or Position | FOUNDING DIRECTOR
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Name | KELLY A FRANKO
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Credential |
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Telephone | 330-301-4982
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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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