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General NPI Number Information
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NPI Number | 1740887371
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Entity Type | Organization
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Legal Business Name | WEST GATE HOME SERVICES, LLC
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 1991 CROCKER RD STE 600
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City | WESTLAKE
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State | OH
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Zip | 44145-6976
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Country | US
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Telephone | 440-695-3567
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Fax |
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Provider Business Mailing Address
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Address Line | 715 LAKE TRL
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City | AURORA
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State | OH
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Zip | 44202-8478
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Country | US
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Telephone | 330-732-7075
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CHRISTOPHER HEGELE
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Credential |
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Telephone | 440-695-3567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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