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General NPI Number Information
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NPI Number | 1982300661
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Entity Type | Organization
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Legal Business Name | CPS HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 6100 OAK TREE BLVD STE 200
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City | INDEPENDENCE
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State | OH
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Zip | 44131-6914
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Country | US
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Telephone | 330-344-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 W WOODLAND DR
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City | AKRON
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State | OH
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Zip | 44313-4797
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Country | US
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Telephone | 330-344-9030
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHARDE N PHILLIPS
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Credential |
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Telephone | 330-344-9030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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