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General NPI Number Information
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NPI Number | 1811715329
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Entity Type | Organization
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Legal Business Name | OUR HERO & MORE
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 1196 ADDISON RD # 12
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City | CLEVELAND
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State | OH
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Zip | 44103-1578
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Country | US
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Telephone | 216-256-0293
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Fax |
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Provider Business Mailing Address
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Address Line | 1196 ADDISON RD # 12
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City | CLEVELAND
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State | OH
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Zip | 44103-1578
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Country | US
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Telephone | 216-256-0293
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Fax |
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Authorized Official
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Title or Position | OWNER/CDCA/CPRS
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Name | ANNETTE N. BROOKS
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Credential |
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Telephone | 216-256-0293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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