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General NPI Number Information
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NPI Number | 1033555404
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Entity Type | Organization
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Legal Business Name | THE GLINES COMPANY, LLC
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Dates
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Enumeration Date | 05/13/2013
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Last Update Date | 05/13/2013
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Provider Practice Location Address
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Address Line | 6078 GARDEN VIEW CT
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City | CINCINNATI
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State | OH
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Zip | 45247-5779
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Country | US
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Telephone | 513-379-5995
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53548
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City | CINCINNATI
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State | OH
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Zip | 45253-0548
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Country | US
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Telephone | 513-379-5995
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Fax | 513-681-0710
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIAM R GLINES III
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Credential | MBA, CPA
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Telephone | 513-379-5995
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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 | 3101824
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License Number State | OH
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