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General NPI Number Information
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NPI Number | 1023582558
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Entity Type | Organization
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Legal Business Name | CARDINAL HEALTH, LLC
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 1864 E 89TH ST
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City | CLEVELAND
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State | OH
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Zip | 44106-2006
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Country | US
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Telephone | 216-923-6709
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Fax | 216-561-2273
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Provider Business Mailing Address
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Address Line | PO BOX 603912
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City | CLEVELAND
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State | OH
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Zip | 44103-0912
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Country | US
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Telephone | 216-548-1163
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Fax | 216-561-2273
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Authorized Official
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Title or Position | CO OWNER
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Name | MRS. JUAHMEA RIVERS
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Credential |
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Telephone | 216-548-1163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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