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General NPI Number Information
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NPI Number | 1861207003
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Entity Type | Organization
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Legal Business Name | LITTLE HEARTS PEDIATRIC HOME CARE
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 5985 WHITE PINE DR
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City | BEDFORD HTS
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State | OH
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Zip | 44146-3005
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Country | US
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Telephone | 440-317-3823
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Fax | 440-848-4104
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Provider Business Mailing Address
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Address Line | 5985 WHITE PINE DR
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City | BEDFORD HTS
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State | OH
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Zip | 44146-3005
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Country | US
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Telephone | 440-317-3823
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Fax | 440-848-4104
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Authorized Official
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Title or Position | LPN/ADMINISTRATOR
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Name | MONIQUE DECLUETT
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Credential | LPN
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Telephone | 440-317-3823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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