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General NPI Number Information
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NPI Number | 1629345350
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Entity Type | Organization
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Legal Business Name | DEVOTED CARE
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 71 BAKER BLVD SUITE 203
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City | FAIRLAWN
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State | OH
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Zip | 44333-3639
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Country | US
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Telephone | 330-836-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 71 BAKER BOULEVARD SUITE 203
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City | FAIRLAWN
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State | OH
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Zip | 44333-3639
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Country | US
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Telephone | 330-836-3400
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | JASON WILLIAMS
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Credential |
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Telephone | 330-836-3400
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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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