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General NPI Number Information
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NPI Number | 1215112057
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Entity Type | Organization
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Legal Business Name | PHHC, LLC
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 6133 ROCKSIDE RD
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2223
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Country | US
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Telephone | 216-292-5706
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Fax |
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Provider Business Mailing Address
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Address Line | 26691 RICHMOND RD
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146-1447
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REP
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Name | WILLIAM WEISBERG
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Credential |
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Telephone | 216-292-5706
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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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