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General NPI Number Information
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NPI Number | 1003587460
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Entity Type | Organization
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Legal Business Name | DIAL SUPPORTIVE HOMECARE SERVICES, LLC
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 09/26/2021
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Provider Practice Location Address
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Address Line | 2558 LYNDEN CASTLE PKWY APT C
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City | COLUMBUS
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State | OH
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Zip | 43219-6262
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Country | US
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Telephone | 614-377-6083
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Fax |
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Provider Business Mailing Address
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Address Line | 2558 LYNDEN CASTLE PKWY APT C
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City | COLUMBUS
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State | OH
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Zip | 43219-6262
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Country | US
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Telephone | 614-377-6083
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Fax |
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Authorized Official
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Title or Position | CEO/ OWNER
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Name | JAMILA J KARIM
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Credential |
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Telephone | 614-377-6083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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