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General NPI Number Information
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NPI Number | 1134614035
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Entity Type | Organization
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Legal Business Name | EAGLE MEDICAL SERVICES , LLC
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 11916 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-5408
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Country | US
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Telephone | 216-889-9220
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Fax | 216-889-9221
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Provider Business Mailing Address
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Address Line | 11916 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-5408
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Country | US
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Telephone | 216-889-9220
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Fax | 216-889-9221
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Authorized Official
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Title or Position | OWNER
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Name | MR. PAULA LENG
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Credential |
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Telephone | 216-889-9220
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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 | OH
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