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General NPI Number Information
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NPI Number | 1487068581
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Entity Type | Organization
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Legal Business Name | SOURCEPOINT
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 800 CHESHIRE RD
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City | DELAWARE
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State | OH
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Zip | 43015-6038
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Country | US
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Telephone | 740-363-6677
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Fax | 740-363-7588
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Provider Business Mailing Address
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Address Line | 800 CHESHIRE RD
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City | DELAWARE
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State | OH
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Zip | 43015-6038
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Country | US
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Telephone | 740-363-6677
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Fax | 740-363-7588
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | KIMBERLY MARIE CLEWELL
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Credential |
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Telephone | 740-203-2353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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