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General NPI Number Information
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NPI Number | 1851165872
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Entity Type | Organization
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Legal Business Name | WALKING WITH A PURPOSE
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 1700 WOODLAND AVE NW
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City | CANTON
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State | OH
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Zip | 44703-1256
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Country | US
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Telephone | 234-804-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 908 SHERLOCK PL NE
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City | CANTON
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State | OH
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Zip | 44714-2468
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Country | US
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Telephone | 234-804-5100
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. LETONY BAKER
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Credential |
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Telephone | 234-804-5100
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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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