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General NPI Number Information
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NPI Number | 1033443502
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Entity Type | Organization
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Legal Business Name | DOMINION HOME HEALTH CARE INC
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 5300 E MAIN ST SUITE 103
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City | COLUMBUS
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State | OH
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Zip | 43213-2580
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Country | US
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Telephone | 614-866-7400
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Fax | 614-866-7405
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Provider Business Mailing Address
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Address Line | 5300 E MAIN ST SUITE 103
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City | COLUMBUS
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State | OH
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Zip | 43213-2580
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Country | US
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Telephone | 614-866-7400
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Fax | 614-866-7405
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Authorized Official
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Title or Position | OWNER
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Name | MS. NORMA D LAUER
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Credential | RN,BSN
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Telephone | 614-866-7400
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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 | 1884127
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License Number State | OH
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