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General NPI Number Information
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NPI Number | 1538392733
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Entity Type | Organization
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Legal Business Name | MR HOME CARE OF CLEVELAND INC
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 6573 COCHRAN RD UNIT H
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City | SOLON
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State | OH
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Zip | 44139-3922
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Country | US
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Telephone | 718-249-5770
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Fax |
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Provider Business Mailing Address
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Address Line | 2236 E 64TH ST
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City | BROOKLYN
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State | NY
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Zip | 11234-6314
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Country | US
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Telephone | 718-249-5770
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER FALIKMAN
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Credential |
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Telephone | 718-249-5770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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