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General NPI Number Information
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NPI Number | 1902866908
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Entity Type | Organization
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Legal Business Name | JEWISH FAMILY SERVICE ASSOCIATION
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3659 GREEN ROAD PDC BUILDING SUITE 316
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City | BEACHWOOD
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State | OH
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Zip | 44122-5727
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Country | US
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Telephone | 216-378-8663
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Fax | 216-378-8662
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Provider Business Mailing Address
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Address Line | 3659 GREEN RD PDC BUILDING SUITE 316
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City | BEACHWOOD
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State | OH
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Zip | 44122-5727
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Country | US
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Telephone | 216-378-8663
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Fax | 216-378-8662
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Authorized Official
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Title or Position | SENIOR DIRECTOR OF CLIENT SERVICES
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Name | MS. JANET STEPHAN
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Credential | MPA,CPHQ
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Telephone | 216-504-6421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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