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General NPI Number Information
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NPI Number | 1972170777
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Entity Type | Organization
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Legal Business Name | ACCESS HOME AND CARE BENEFITS, LLC
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 675 ALPHA DRIVE, STE G
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City | HIGHLAND HEIGHTS
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State | OH
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Zip | 44143
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Country | US
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Telephone | 216-816-2005
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Fax | 216-619-9884
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Provider Business Mailing Address
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Address Line | 675 ALPHA DRIVE, STE G
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City | HIGHLAND HEIGHTS
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State | OH
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Zip | 44143
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Country | US
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Telephone | 216-816-2005
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Fax | 216-619-9884
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KATRINA BEATY
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Credential |
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Telephone | 216-816-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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