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General NPI Number Information
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NPI Number | 1881195543
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Entity Type | Organization
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Legal Business Name | ANAYA FARRELL ENTERPRISES LLC
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 25901 EMERY RD STE 112
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City | CLEVELAND
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State | OH
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Zip | 44128-6213
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Country | US
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Telephone | 216-406-4970
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Fax |
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Provider Business Mailing Address
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Address Line | 25901 EMERY RD STE 112
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City | CLEVELAND
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State | OH
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Zip | 44128-6213
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Country | US
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Telephone | 216-406-4970
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Fax |
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Authorized Official
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Title or Position | TAX ID OWNER
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Name | ANAYA T FARRELL
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Credential | LIMFT
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Telephone | 216-406-4970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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