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General NPI Number Information
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NPI Number | 1104107457
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Entity Type | Organization
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Legal Business Name | FAMILY CARE ASSURANCE PROGRAM - LLC
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 08/31/2011
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Provider Practice Location Address
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Address Line | 526 CANTON RD SUITE 211
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City | AKRON
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State | OH
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Zip | 44312-2554
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Country | US
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Telephone | 330-800-6501
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Fax | 330-315-2554
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Provider Business Mailing Address
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Address Line | 526 CANTON RD SUITE 211
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City | AKRON
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State | OH
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Zip | 44312-2554
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Country | US
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Telephone | 330-800-6501
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Fax | 330-315-2554
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. MARY O FRIEDLEIN
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Credential | CARE PROVIDER
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Telephone | 330-800-6501
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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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