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General NPI Number Information
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NPI Number | 1902354392
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Entity Type | Organization
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Legal Business Name | THE CENTERS FOR FAMILIES AND CHILDREN
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 1744 PAYNE AVE
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City | CLEVELAND
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State | OH
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Zip | 44114-2910
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Country | US
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Telephone | 216-623-6555
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Fax | 216-325-9301
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Provider Business Mailing Address
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Address Line | 4500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44103-3736
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Country | US
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Telephone | 216-325-9296
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Fax | 216-325-9301
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | TOD JOSEPH GRIMM
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Credential | RPH
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Telephone | 440-550-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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