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General NPI Number Information
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NPI Number | 1851966170
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Entity Type | Organization
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Legal Business Name | TDT COMPANIONS & HOMECARE SERVICES AGENCY LLC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 10808 COLUMBIA AVE
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City | CLEVELAND
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State | OH
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Zip | 44108-3018
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Country | US
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Telephone | 121-620-6901
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Fax |
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Provider Business Mailing Address
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Address Line | 10808 COLUMBIA AVE
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City | CLEVELAND
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State | OH
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Zip | 44108-3018
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Country | US
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Telephone | 121-620-6901
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TERRELL D TAYLOR
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Credential |
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Telephone | 216-634-9391
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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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