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General NPI Number Information
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NPI Number | 1427528553
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Entity Type | Organization
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Legal Business Name | AKOMA HEALTH LLC
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Dates
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Enumeration Date | 12/02/2018
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 2219 E 73RD ST
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City | CLEVELAND
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State | OH
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Zip | 44103-4827
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Country | US
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Telephone | 216-326-7487
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Fax |
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Provider Business Mailing Address
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Address Line | 2219 E 73RD ST
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City | CLEVELAND
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State | OH
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Zip | 44103-4827
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Country | US
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Telephone | 216-326-7487
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RUSSELL FUNCHES
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Credential | PT
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Telephone | 216-326-7487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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