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General NPI Number Information
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NPI Number | 1922271303
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Entity Type | Organization
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Legal Business Name | SYSTEM MODILATION AND INTEGRATION FOR LIFESTYLE ENHANCEMENT
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 24000 MERCANTILE RD STE 1
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City | CLEVELAND
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State | OH
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Zip | 44122-5913
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Country | US
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Telephone | 216-470-9088
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Fax | 216-663-2440
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Provider Business Mailing Address
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Address Line | 24000 MERCANTILE RD STE 1
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City | CLEVELAND
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State | OH
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Zip | 44122-5913
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Country | US
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Telephone | 216-470-9088
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Fax |
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Authorized Official
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Title or Position | VP SALES
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Name | MR. ERIC GOLUBITSKY
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Credential |
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Telephone | 216-470-9088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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