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General NPI Number Information
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NPI Number | 1851785570
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Entity Type | Organization
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Legal Business Name | A 1 CARE LLC
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 3504 GLENWOOD BLVD
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City | REMINDERVILLE
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State | OH
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Zip | 44202-9062
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Country | US
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Telephone | 216-855-7775
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Fax |
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Provider Business Mailing Address
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Address Line | 3504 GLENWOOD BLVD
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City | REMINDERVILLE
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State | OH
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Zip | 44202-9062
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Country | US
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Telephone | 216-855-7775
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KETURA JACKSON
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Credential | RN
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Telephone | 216-855-7775
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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 | RN.363895
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | RN.363895
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | RN.363895
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License Number State | OH
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