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General NPI Number Information
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NPI Number | 1629685482
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Entity Type | Organization
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Legal Business Name | NEVAEH CARE LLC
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 140 GRAND TRUNK AVE SW STE E
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City | HARTVILLE
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State | OH
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Zip | 44632-9681
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Country | US
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Telephone | 330-267-6101
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Fax | 330-267-6101
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Provider Business Mailing Address
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Address Line | 140 GRAND TRUNK AVE SW STE E
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City | HARTVILLE
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State | OH
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Zip | 44632-9681
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Country | US
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Telephone | 330-267-6101
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Fax | 330-267-6101
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Authorized Official
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Title or Position | CEO/MEMBER
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Name | MRS. AIMEE HARRIS
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Credential |
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Telephone | 330-949-9648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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