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General NPI Number Information
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NPI Number | 1619655065
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Entity Type | Organization
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Legal Business Name | PURELY CARE LLC
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 889 EVANGELINE RD
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City | CLEVELAND
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State | OH
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Zip | 44110-3146
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Country | US
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Telephone | 216-418-9640
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Fax |
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Provider Business Mailing Address
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Address Line | 19008 PAWNEE AVE
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City | CLEVELAND
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State | OH
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Zip | 44119-1721
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Country | US
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Telephone | 216-418-9640
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | NARKITA N TALLEY
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Credential | HHA
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Telephone | 216-418-9640
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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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