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General NPI Number Information
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NPI Number | 1699587972
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Entity Type | Organization
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Legal Business Name | TAYLORED CARE LLC
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 149 PALMETTO AVE
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City | BEDFORD
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State | OH
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Zip | 44146-3225
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Country | US
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Telephone | 216-280-6049
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Fax |
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Provider Business Mailing Address
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Address Line | 149 PALMETTO AVE
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City | BEDFORD
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State | OH
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Zip | 44146-3225
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Country | US
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Telephone | 216-280-6049
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EBONY DANIELLE TAYLOR
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Credential |
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Telephone | 218-280-6049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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