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General NPI Number Information
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NPI Number | 1366121477
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Entity Type | Individual
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Provider Name | SYLVIA D DUCKSWORTH-BEARDEN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 19004 CHICKASAW AVE
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City | CLEVELAND
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State | OH
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Zip | 44119-2730
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Country | US
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Telephone | 216-256-4815
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Fax |
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Provider Business Mailing Address
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Address Line | 19004 CHICKASAW AVE
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City | CLEVELAND
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State | OH
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Zip | 44119-2730
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Country | US
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Telephone | 216-256-4815
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 423567
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 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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