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General NPI Number Information
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NPI Number | 1932029352
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Entity Type | Individual
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Provider Name | DUWHAN J BIRD
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Gender | Male
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 20001 EUCLID AVE
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City | EUCLID
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State | OH
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Zip | 44117-1480
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Country | US
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Telephone | 216-570-5665
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Fax |
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Provider Business Mailing Address
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Address Line | 6386 WOODHAWK DR
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-4153
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Country | US
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Telephone | 216-570-5665
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | RS977151
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License Number State | OH
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