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General NPI Number Information
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NPI Number | 1821905720
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Entity Type | Organization
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Legal Business Name | LAKE ERIE INTEGRATIVE HEALTH LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 268 STATE ST
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City | CONNEAUT
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State | OH
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Zip | 44030-2670
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Country | US
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Telephone | 440-209-2916
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Fax |
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Provider Business Mailing Address
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Address Line | 268 STATE ST
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City | CONNEAUT
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State | OH
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Zip | 44030-2670
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Country | US
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Telephone | 440-209-2916
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | TATYANA N KUVSHINIKOV
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Credential | PA-C
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Telephone | 440-209-2916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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