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General NPI Number Information
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NPI Number | 1902586027
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Entity Type | Organization
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Legal Business Name | TREBOR MANAGEMENT OF CLEVLAND LLC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 121 GLENN ST
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City | BARBERTON
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State | OH
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Zip | 44203-1305
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Country | US
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Telephone | 330-510-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 6327 RANDOLPH RD
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City | BEDFORD
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State | OH
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Zip | 44146-3913
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Country | US
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Telephone | 440-789-3441
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Fax |
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Authorized Official
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Title or Position | DOO
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Name | NICOLE CAMPBELL FURRAITTI
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Credential |
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Telephone | 330-510-9776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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