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General NPI Number Information
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NPI Number | 1497466601
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Entity Type | Organization
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Legal Business Name | EMBRACE INDEPENDENCE LLC
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 5470 CHEROKEE AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-6844
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Country | US
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Telephone | 330-933-8880
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Fax | 330-232-9796
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Provider Business Mailing Address
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Address Line | 12091 BYERS AVE NE
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City | HARTVILLE
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State | OH
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Zip | 44632-9724
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Country | US
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Telephone | 330-933-8880
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Fax | 330-232-9796
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. CHERYL GAMMON
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Credential | DO
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Telephone | 330-933-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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