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General NPI Number Information
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NPI Number | 1982518072
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Entity Type | Organization
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Legal Business Name | THR1VE ORGANICS
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 759 E 200TH ST
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City | EUCLID
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State | OH
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Zip | 44119-2504
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Country | US
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Telephone | 614-300-0435
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Fax |
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Provider Business Mailing Address
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Address Line | 1558 E 248TH ST
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City | EUCLID
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State | OH
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Zip | 44117-1236
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Country | US
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Telephone | 216-507-0002
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMIKA HENDERSON
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Credential | CNA
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Telephone | 216-507-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | NULL
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