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General NPI Number Information
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NPI Number | 1710674163
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Entity Type | Organization
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Legal Business Name | EAST ROCKETS HH, LLC
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 4807 ROCKSIDE RD STE 110
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2140
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Country | US
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Telephone | 216-901-1464
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4060
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City | MOORESVILLE
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State | NC
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Zip | 28117-4060
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Country | US
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Telephone | 704-664-2876
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Fax |
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Authorized Official
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Title or Position | VP OF LICENSURE
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Name | JANET L. COMBS
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Credential |
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Telephone | 704-664-2876
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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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