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General NPI Number Information
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NPI Number | 1104196831
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Entity Type | Organization
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Legal Business Name | DEVINE HOPE HOMECARE, LLC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 765 S CLEVE MASS RD
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City | FAIRLAWN
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State | OH
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Zip | 44333-3023
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Country | US
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Telephone | 330-238-8988
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Fax | 866-531-4536
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Provider Business Mailing Address
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Address Line | PO BOX 14671
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City | COPLEY
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State | OH
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Zip | 44321-4671
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Country | US
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Telephone | 330-238-8988
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Fax | 866-531-4536
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Authorized Official
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Title or Position | OWNER
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Name | HOPE S PORTER-PRICE
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Credential |
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Telephone | 330-352-8988
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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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