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General NPI Number Information
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NPI Number | 1962395145
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Entity Type | Organization
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Legal Business Name | LAWRENCE AZIZA LLC
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 1893 WYMORE AVE
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City | EAST CLEVELAND
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State | OH
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Zip | 44112-3913
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Country | US
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Telephone | 234-400-4999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 391636
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City | SOLON
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State | OH
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Zip | 44139-8636
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Country | US
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Telephone | 234-400-4999
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Fax |
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | ERIC B HALES
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Credential | BS BUSINESS ADMIN
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Telephone | 216-276-5482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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