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General NPI Number Information
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NPI Number | 1144817958
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Entity Type | Organization
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Legal Business Name | LEGEND ELECTRONICS LLC
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 09/18/2022
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Provider Practice Location Address
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Address Line | 20120 ARDWELL DR
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City | EUCLID
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State | OH
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Zip | 44123-1802
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Country | US
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Telephone | 216-409-0670
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Fax |
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Provider Business Mailing Address
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Address Line | 20120 ARDWELL DR
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City | EUCLID
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State | OH
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Zip | 44123-1802
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Country | US
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Telephone | 121-640-9067
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Fax | 216-744-7363
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANCIS EZEPUE
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Credential |
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Telephone | 216-409-0670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225CA2500X
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Taxonomy Name | Assistive Technology Supplier Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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