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General NPI Number Information
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NPI Number | 1982042016
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Entity Type | Organization
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Legal Business Name | RU-CLARE ADULT DAYCARE CENTER
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 23175 COMMERCE PARK BLDG 2
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City | BEACHWOOD
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State | OH
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Zip | 44122-5806
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Country | US
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Telephone | 216-378-0400
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Fax | 216-591-1850
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Provider Business Mailing Address
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Address Line | 23175 COMMERCE PARK
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City | BEACHWOOD
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State | OH
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Zip | 44122-5806
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Country | US
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Telephone | 216-378-0400
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Fax | 216-591-1850
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. RUTH JEANETTE REED
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Credential | RN
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Telephone | 216-378-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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