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General NPI Number Information
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NPI Number | 1588089924
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 10333 NORTHFIELD RD UNIT 74D
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City | NORTHFIELD
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State | OH
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Zip | 44067-1471
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Country | US
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Telephone | 330-990-0650
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Fax | 330-777-8520
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Provider Business Mailing Address
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Address Line | 466 NORTHFIELD RD # LL
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City | BEDFORD
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State | OH
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Zip | 44146-2287
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Country | US
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Telephone | 144-025-2711
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KERRENA WILLIAMS
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Credential |
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Telephone | 330-990-0650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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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