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General NPI Number Information
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NPI Number | 1467874644
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Entity Type | Organization
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Legal Business Name | JAKIRA CURRY
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 01/08/2014
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Provider Practice Location Address
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Address Line | 22709 LAKE SHORE BLVD APT 355
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City | EUCLID
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State | OH
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Zip | 44123-1359
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Country | US
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Telephone | 216-401-2737
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Fax |
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Provider Business Mailing Address
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Address Line | 22709 LAKE SHORE BLVD APT 355
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City | EUCLID
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State | OH
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Zip | 44123-1359
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Country | US
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Telephone | 216-401-2737
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Fax |
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Authorized Official
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Title or Position | STNA
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Name | JAKIRA S CURRY
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Credential |
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Telephone | 216-401-2737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 400967410809
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License Number State | OH
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