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General NPI Number Information
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NPI Number | 1639306095
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Entity Type | Organization
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Legal Business Name | WINTERCARE HEALTH SERVICES
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 936 HESSEL DR
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City | AKRON
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State | OH
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Zip | 44313-5804
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Country | US
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Telephone | 330-836-0014
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Fax |
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Provider Business Mailing Address
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Address Line | 936 HESSEL DR
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City | AKRON
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State | OH
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Zip | 44313-5804
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Country | US
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Telephone | 330-836-0014
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. TERRENCE WHITE
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Credential |
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Telephone | 330-612-8301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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