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General NPI Number Information
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NPI Number | 1669092375
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Entity Type | Organization
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Legal Business Name | TKT HOME HEALTH CARE
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 683 S LINDEN AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-3082
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Country | US
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Telephone | 330-265-4581
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Fax | 330-956-5961
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Provider Business Mailing Address
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Address Line | 1320 10TH ST NW
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City | CANTON
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State | OH
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Zip | 44703-3321
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Country | US
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Telephone | 330-265-4581
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MRS. KIMBERLY DENISE BARNES
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Credential |
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Telephone | 330-265-4581
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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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