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General NPI Number Information
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NPI Number | 1558258871
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Entity Type | Organization
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Legal Business Name | HOPE HARBOR CLE
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 14406 KINGSFORD AVE
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City | CLEVELAND
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State | OH
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Zip | 44128-1072
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Country | US
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Telephone | 440-291-2015
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Fax |
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Provider Business Mailing Address
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Address Line | 34125 CENTER RIDGE RD # 1019
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-3221
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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 | MANAGER
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Name | LALAINE HOYTT
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Credential |
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Telephone | 216-233-9895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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