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General NPI Number Information
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NPI Number | 1366032716
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Entity Type | Organization
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Legal Business Name | PROVIDE A CARE INC
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 15028 OLD LINCOLN WAY
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City | DALTON
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State | OH
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Zip | 44618-9731
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Country | US
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Telephone | 330-828-2278
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Fax |
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Provider Business Mailing Address
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Address Line | 15028 OLD LINCOLN WAY
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City | DALTON
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State | OH
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Zip | 44618-9731
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Country | US
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Telephone | 330-828-2278
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Fax |
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Authorized Official
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Title or Position | ATTORNEY
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Name | HAYLEY WILLIAMS
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Credential |
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Telephone | 216-706-3936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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