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NPI 1174820062

NPI 1174820062 : CARE CIRCLE, LLC. : CLEVELAND, OH

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General NPI Number Information
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    NPI Number           |    1174820062
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARE CIRCLE, LLC. 
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Dates
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    Enumeration Date     |    02/11/2011
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    Last Update Date     |    02/11/2011
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Provider Practice Location Address
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    Address Line         |    1864 E 89TH ST 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44106-2006
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    Country              |    US
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    Telephone            |    216-721-9097
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    Fax                  |    216-721-8665
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Provider Business Mailing Address
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    Address Line         |    1864 E 89TH ST 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44106-2006
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    Country              |    US
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    Telephone            |    216-721-9097
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    Fax                  |    216-721-8665
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     JEFFREY STEVEN RIVERS 
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    Credential           |    
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    Telephone            |    216-721-9097
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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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