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General NPI Number Information
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NPI Number | 1962048728
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Entity Type | Organization
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Legal Business Name | RELIABLE HEARTS
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 1624 RYDALMOUNT RD
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City | CLEVELAND
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State | OH
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Zip | 44118-1352
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Country | US
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Telephone | 216-785-9928
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 RYDALMOUNT RD
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City | CLEVELAND HTS
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State | OH
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Zip | 44118-1352
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Country | US
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Telephone | 216-716-9998
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. ANNETTE GIBSON
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Credential |
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Telephone | 216-716-9998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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