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General NPI Number Information
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NPI Number | 1487155347
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Entity Type | Organization
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Legal Business Name | FAMILY CARE PATH INC
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 1801 E 9TH ST STE 1700
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City | CLEVELAND
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State | OH
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Zip | 44114-3187
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Country | US
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Telephone | 216-228-9619
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 E 9TH ST STE 1700
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City | CLEVELAND
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State | OH
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Zip | 44114-3187
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVE MCKEE
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Credential |
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Telephone | 216-228-2366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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