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General NPI Number Information
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NPI Number | 1013292200
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Entity Type | Organization
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Legal Business Name | LEGACY HOME HEALTH CARE SERVICES,LLC
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 09/01/2018
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Provider Practice Location Address
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Address Line | 1110 MORSE RD 216
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City | COLUMBUS
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State | OH
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Zip | 43229
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Country | US
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Telephone | 614-499-6354
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Fax | 614-675-2568
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Provider Business Mailing Address
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Address Line | 1110 MORSE RD SUITE 216
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City | COLUMBUS
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State | OH
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Zip | 43229-6329
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Country | US
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Telephone | 614-842-2010
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Fax | 614-675-2568
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Authorized Official
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Title or Position | C.E.O
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Name | MR. MUSA M ABDI
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Credential |
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Telephone | 614-842-2010
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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 |
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License Number State | OH
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