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General NPI Number Information
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NPI Number | 1033153119
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Entity Type | Organization
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Legal Business Name | MEDCENTRAL HOMECARE AND HOSPICE
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1020 CRICKET LN
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City | MANSFIELD
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State | OH
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Zip | 44906-4104
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Country | US
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Telephone | 419-526-8442
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Fax | 419-756-2298
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Provider Business Mailing Address
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Address Line | 335 GLESSNER AVE
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City | MANSFIELD
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State | OH
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Zip | 44903-2269
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Country | US
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Telephone | 419-526-8442
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Fax | 419-756-2298
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MARTE D ALSLEBEN
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Credential | RN, JD
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Telephone | 419-526-8442
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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 |
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License Number State |
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