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General NPI Number Information
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NPI Number | 1053084608
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Entity Type | Individual
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Provider Name | CHELE M HARDY
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Gender | Female
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Dates
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Enumeration Date | 07/29/2021
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 1850 S SENECA AVE APT 317
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City | ALLIANCE
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State | OH
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Zip | 44601-4377
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Country | US
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Telephone | 330-428-0610
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Fax |
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Provider Business Mailing Address
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Address Line | 1334 S SENECA AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-4143
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Country | US
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Telephone | 234-215-1643
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 7611183
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License Number State | OH
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