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General NPI Number Information
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NPI Number | 1730386806
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Entity Type | Organization
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Legal Business Name | MONICA'S CARIBBEAN BAKERY & CAFE
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Dates
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Enumeration Date | 06/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 644 E 185TH ST
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City | CLEVELAND
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State | OH
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Zip | 44119-1767
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Country | US
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Telephone | 216-481-7776
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Fax | 216-481-7776
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Provider Business Mailing Address
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Address Line | 644 E 185TH ST
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City | CLEVELAND
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State | OH
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Zip | 44119-1767
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Country | US
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Telephone | 216-481-7776
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Fax | 216-481-7776
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Authorized Official
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Title or Position | OWNER-DIRECTOR
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Name | MS. MONICA JENNIFER LIMERICK
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Credential | CDM
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Telephone | 216-289-8908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number | 3340
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License Number State | OH
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