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26300 Euclid Ave Ste 205 Euclid OH 44132-3708 | |
(440) 334-4634 | |
Not Available |
Full Name | |
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Speciality | Technician |
Location | 26300 Euclid Ave Ste 205, Euclid, Ohio |
Authorized Official Name and Position | Patricia A Taylor (CEO) |
Authorized Official Contact | 2164170340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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26300 Euclid Ave Ste 205 Euclid OH 44132-3708 Ph: (216) 417-0340 | 26300 Euclid Ave Ste 205 Euclid OH 44132-3708 Ph: (440) 334-4634 |
NPI Number | 1851006860 |
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Provider Enumeration Date | 01/16/2023 |
Last Update Date | 08/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851006860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
374700000X | Technician | (* (Not Available)) | Primary |
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