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General NPI Number Information
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NPI Number | 1982968301
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Entity Type | Organization
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Legal Business Name | YOUR INDEPENDENCE INC
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 01/21/2013
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Provider Practice Location Address
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Address Line | 1557 VERNON ODOM BLVD 104
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City | AKRON
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State | OH
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Zip | 44320-4061
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Country | US
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Telephone | 866-287-4157
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Fax | 330-983-9494
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Provider Business Mailing Address
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Address Line | 1557 VERNON ODOM BLVD 104
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City | AKRON
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State | OH
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Zip | 44320-4061
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Country | US
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Telephone | 866-287-4157
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Fax | 330-983-9494
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Authorized Official
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Title or Position | CEO
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Name | MS. JESSICA K JONES
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Credential |
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Telephone | 866-287-4157
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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 | 7706870
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License Number State | OH
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