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General NPI Number Information
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NPI Number | 1568633329
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Entity Type | Organization
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Legal Business Name | UPC UNLIMITED LLC
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 11512 SUPERIOR AVE 2ND FLOOR
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City | CLEVELAND
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State | OH
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Zip | 44106-1343
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Country | US
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Telephone | 216-795-9836
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Fax | 216-795-7090
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Provider Business Mailing Address
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Address Line | 11512 SUPERIOR AVE 2ND FLOOR
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City | CLEVELAND
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State | OH
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Zip | 44106-1343
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Country | US
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Telephone | 216-795-9836
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Fax | 216-795-7090
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELWIRA AL-AYOUTY
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Credential |
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Telephone | 216-695-0923
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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 | 1760120
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License Number State | OH
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