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General NPI Number Information
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NPI Number | 1013356039
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Entity Type | Organization
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Legal Business Name | OHC OF NE OHIO LLC
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 410 PARK AVE W STE 1
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City | MANSFIELD
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State | OH
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Zip | 44906-3121
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Country | US
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Telephone | 419-843-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 E MAIN ST SUITE 201
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-2357
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Country | US
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Telephone | 614-577-1212
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Fax | 614-861-8026
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Authorized Official
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Title or Position | DIR PAYOR RELATIONS
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Name | KATIE EISEL
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Credential |
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Telephone | 419-843-4422
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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 |
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