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General NPI Number Information
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NPI Number | 1326815929
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Entity Type | Organization
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Legal Business Name | PUZZLE PEACE CHILD LLC
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 27801 EUCLID AVE STE 340
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City | EUCLID
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State | OH
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Zip | 44132-3532
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Country | US
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Telephone | 216-304-9673
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Fax |
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Provider Business Mailing Address
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Address Line | 4549 E BERWALD RD
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City | SOUTH EUCLID
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State | OH
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Zip | 44121-3925
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Country | US
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Telephone | 216-304-9673
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | KIARA M WILLIAMS
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Credential | CEO
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Telephone | 216-304-9673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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