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General NPI Number Information
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NPI Number | 1902612294
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Entity Type | Organization
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Legal Business Name | CIRCLE HEALTH SERVICES
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 3727 BOSWORTH ROAD
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City | CLEVELAND
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State | OH
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Zip | 44111
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Country | US
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Telephone | 216-416-4277
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Fax |
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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 | 216-416-4277
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CHRISTINE GAMBATESE
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Credential | CPA
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Telephone | 440-667-9805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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