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General NPI Number Information
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NPI Number | 1033945233
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Entity Type | Individual
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Provider Name | AKELA ELLIS
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Gender | Female
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 5917 VINE ST
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City | CINCINNATI
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State | OH
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Zip | 45216-2387
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Country | US
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Telephone | 513-349-5876
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Fax |
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Provider Business Mailing Address
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Address Line | 6809 MAIN ST UNIT 29
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City | CINCINNATI
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State | OH
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Zip | 45244-3470
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Country | US
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Telephone | 513-249-5876
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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