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General NPI Number Information
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NPI Number | 1669672846
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Entity Type | Organization
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Legal Business Name | HOMETECH HEALTHCARE SERVICES , LLC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 18402 SCOTTSDALE BLVD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-6470
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Country | US
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Telephone | 216-295-9120
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Fax | 216-295-9124
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Provider Business Mailing Address
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Address Line | 18402 SCOTTSDALE BLVD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-6470
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Country | US
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Telephone | 216-295-9120
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Fax | 216-295-9124
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Authorized Official
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Title or Position | VP/CFO
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Name | EDWARD E LONG
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Credential |
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Telephone | 216-832-8834
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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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