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NPI Code Detail

MEDICARE: MOLLY K DANZINGER

MEDICARE: MOLLY K DANZINGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.1451202OH

General Provider Information

NPI Number : 1528703956
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY K DANZINGER
Provider Business Mailing Address
First Line : 2693 E 127TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-1425
Country : US
Telephone Number : 216-214-4278
Fax Number :
Provider Business Practice Location Address
First Line : 12300 MCCRACKEN RD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-2975
Country : US
Telephone Number : 216-587-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2022
Last Update Date : 04/30/2022

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