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General NPI Number Information
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NPI Number | 1023526043
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTHCARE PARTNERS
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 04/10/2018
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Provider Practice Location Address
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Address Line | 145 SUNRISE CENTER DR
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City | ZANESVILLE
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State | OH
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Zip | 43701-4650
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Country | US
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Telephone | 740-891-8479
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Fax |
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Provider Business Mailing Address
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Address Line | 2085 NANCY DR
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City | ZANESVILLE
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State | OH
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Zip | 43701-9273
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Country | US
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Telephone | 740-891-8479
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER-OWNER
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Name | MRS. JUDEAN MARIE LEROY
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Credential | FNP
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Telephone | 740-891-8479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 285239
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 285239
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 285239
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License Number State | OH
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