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General NPI Number Information
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NPI Number | 1811873086
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Entity Type | Organization
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Legal Business Name | MITCHELL SCHER DDS EASTLAKE INC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 34900 LAKE SHORE BLVD STE 101
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City | EASTLAKE
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State | OH
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Zip | 44095-2099
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Country | US
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Telephone | 440-954-8300
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Fax | 440-954-8302
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Provider Business Mailing Address
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Address Line | 34900 LAKE SHORE BLVD STE 101
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City | EASTLAKE
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State | OH
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Zip | 44095-2099
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Country | US
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Telephone | 440-954-8300
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Fax | 440-954-8302
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Authorized Official
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Title or Position | REGIONAL MANAGER
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Name | MRS. JENNIFER ROSE CASE
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Credential | CDA,EFDA
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Telephone | 440-442-3262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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