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General NPI Number Information
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NPI Number | 1790508679
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Entity Type | Organization
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Legal Business Name | JEWELL & KUDRO, LLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 399 REDWOOD DR
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-3000
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Country | US
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Telephone | 330-631-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 399 REDWOOD DR
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-3000
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Country | US
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Telephone | 330-631-7100
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | JESSICA JEWELL
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Credential | PHD
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Telephone | 330-631-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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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 | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number |
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License Number State |
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