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General NPI Number Information
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NPI Number | 1881469740
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Entity Type | Organization
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Legal Business Name | HEALTHY HEARTS TRANSPORTATION
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 15609 CLOVERSIDE AVE
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City | CLEVELAND
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State | OH
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Zip | 44128-2104
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Country | US
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Telephone | 216-816-4324
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Fax |
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Provider Business Mailing Address
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Address Line | 15609 CLOVERSIDE AVE
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City | CLEVELAND
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State | OH
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Zip | 44128-2104
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Country | US
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Telephone | 216-816-4324
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | MRS. TOMEKIA HOLLOWAY
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Credential |
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Telephone | 216-816-4324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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