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General NPI Number Information
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NPI Number | 1487259529
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Entity Type | Organization
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Legal Business Name | KINSMAN CARE INC
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 11660 SHERMAN RD
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City | CHARDON
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State | OH
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Zip | 44024-8430
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Country | US
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Telephone | 440-279-7551
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Fax |
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Provider Business Mailing Address
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Address Line | 13801 OAK TREE TRL
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City | CHARDON
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State | OH
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Zip | 44024-9356
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Country | US
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Telephone | 440-279-7551
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID PROCHAZKA
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Credential |
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Telephone | 440-279-7551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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