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General NPI Number Information
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NPI Number | 1053455022
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Entity Type | Organization
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Legal Business Name | MID-OHIO HOME HEALTH SERVICES,LTD
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 1332 W 4TH ST
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City | MANSFIELD
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State | OH
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Zip | 44906-1828
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Country | US
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Telephone | 419-529-3883
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Fax | 419-529-0725
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Provider Business Mailing Address
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Address Line | 1332 W 4TH ST
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City | MANSFIELD
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State | OH
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Zip | 44906-1828
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Country | US
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Telephone | 419-529-3883
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Fax | 419-529-0725
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KARLA KELLER
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Credential |
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Telephone | 419-529-3883
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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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