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General NPI Number Information
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NPI Number | 1861005076
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Entity Type | Organization
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Legal Business Name | GIFTED HANDS HEALTHCARE ACADEMY LLC
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Dates
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Enumeration Date | 08/26/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 17325 EUCLID AVE STE 3022
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City | CLEVELAND
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State | OH
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Zip | 44112-1255
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Country | US
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Telephone | 216-260-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 732 QUILLIAMS RD
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City | CLEVELAND HTS
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State | OH
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Zip | 44121-1956
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Country | US
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Telephone | 216-260-3444
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Fax |
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Authorized Official
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Title or Position | RN/OWNER/INSTRUCTOR
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Name | TARA RANITA EDWARDS-COLEMAN
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Credential | RN
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Telephone | 216-260-3444
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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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Taxonomy #2
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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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