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General NPI Number Information
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NPI Number | 1679877120
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Entity Type | Organization
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Legal Business Name | FAMILY TREE HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 12/26/2010
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 889 N AURORA RD
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City | AURORA
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State | OH
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Zip | 44202-9537
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Country | US
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Telephone | 440-519-0001
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Fax | 440-519-0002
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Provider Business Mailing Address
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Address Line | 889 N AURORA RD
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City | AURORA
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State | OH
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Zip | 44202-9537
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Country | US
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Telephone | 440-519-0001
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Fax | 440-519-0002
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHRISTOPHER G. NORTON
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Credential | LNHA
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Telephone | 216-402-9056
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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 | 1980669
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License Number State | OH
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