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General NPI Number Information
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NPI Number | 1568190593
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Entity Type | Organization
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Legal Business Name | BUCKEYE HOSPICE CARE LLC
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 30107 LORAIN ROAD SUITE C
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City | NORTH OLMSTED
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State | OH
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Zip | 44070
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Country | US
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Telephone | 216-983-9362
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Fax |
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Provider Business Mailing Address
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Address Line | 30107 LORAIN ROAD SUITE C
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City | NORTH OLMSTED
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State | OH
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Zip | 44070
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Country | US
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Telephone | 216-983-9362
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JESSICA IORIO
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Credential |
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Telephone | 440-377-6037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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