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General NPI Number Information
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NPI Number | 1922214998
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Entity Type | Organization
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Legal Business Name | PREMIER CAREGIVERS OF NORTHERN OHIO
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3976A FULTON DR NW
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City | CANTON
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State | OH
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Zip | 44718-3043
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Country | US
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Telephone | 330-305-1300
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Fax | 330-305-9645
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Provider Business Mailing Address
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Address Line | 3976A FULTON DR NW
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City | CANTON
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State | OH
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Zip | 44718-3043
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Country | US
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Telephone | 330-305-1300
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Fax | 330-305-9645
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHELLE LESLI LINGENHOEL
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Credential |
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Telephone | 330-305-1300
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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 | 200534903316
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License Number State | OH
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