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NPI 1487323655

NPI 1487323655 : YOUR PLACE & MINE LLC : CLEVELAND, OH

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General NPI Number Information
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    NPI Number           |    1487323655
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    Entity Type          |    Organization 
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    Legal Business Name  |    YOUR PLACE & MINE LLC 
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Dates
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    Enumeration Date     |    09/09/2021
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    Last Update Date     |    11/01/2022
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Provider Practice Location Address
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    Address Line         |    5353 DOLLOFF RD 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44127-1620
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    Country              |    US
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    Telephone            |    216-532-5512
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 91913 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44101-3913
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    Country              |    US
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    Telephone            |    216-532-5512
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     RENEE  HILL 
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    Credential           |    
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    Telephone            |    216-236-8336
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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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