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General NPI Number Information
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NPI Number | 1891407359
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Entity Type | Organization
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Legal Business Name | THE REEVA GROUP LLC
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 15633 KIPLING AVE
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City | CLEVELAND
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State | OH
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Zip | 44110-3255
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Country | US
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Telephone | 216-245-0630
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Fax |
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Provider Business Mailing Address
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Address Line | 5247 WILSON MILLS RD # 516
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-3016
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Country | US
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Telephone | 216-245-0630
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DELANA WHITMORE
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Credential |
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Telephone | 216-245-0630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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