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General NPI Number Information
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NPI Number | 1629343520
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Entity Type | Organization
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Legal Business Name | CARE BEAR HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 03/12/2012
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Provider Practice Location Address
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Address Line | 942 N MAIN ST STE 23
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City | AKRON
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State | OH
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Zip | 44310-1447
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Country | US
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Telephone | 330-253-5416
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Fax | 330-253-5425
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Provider Business Mailing Address
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Address Line | 942 N MAIN ST STE 23
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City | AKRON
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State | OH
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Zip | 44310-1447
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Country | US
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Telephone | 330-253-5416
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Fax | 330-253-5425
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CLARISSA SHAVON CARGILL
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Credential |
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Telephone | 330-328-8489
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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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