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General NPI Number Information
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NPI Number | 1437838570
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Entity Type | Organization
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Legal Business Name | BROOKE'S GIFT OF LOVE HOMECARE LLC
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1700 NEEDMORE RD STE 201
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City | DAYTON
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State | OH
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Zip | 45414-3804
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Country | US
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Telephone | 937-694-0088
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Fax | 937-796-3647
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Provider Business Mailing Address
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Address Line | 1700 NEEDMORE RD STE 201
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City | DAYTON
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State | OH
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Zip | 45414-3804
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Country | US
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Telephone | 937-694-0088
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Fax | 937-796-3647
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Authorized Official
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Title or Position | OWNER
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Name | ERICA HARRIS
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Credential |
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Telephone | 708-580-9158
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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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