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General NPI Number Information
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NPI Number | 1053644336
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Entity Type | Organization
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Legal Business Name | THE SUN HOME HEALTH CARE AT MANSFIELD, INC
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Dates
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Enumeration Date | 09/17/2009
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 166 PARK AVE W. SUITE 205
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City | MANSFIELD
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State | OH
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Zip | 44902
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Country | US
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Telephone | 740-272-3371
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Fax |
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Provider Business Mailing Address
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Address Line | 166 PARK AVE W. SUITE 205
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City | MANSFIELD
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State | OH
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Zip | 44902
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Country | US
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Telephone | 740-272-3371
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINSTRATOR
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Name | MRS. JAYSHRI M SHAH
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Credential |
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Telephone | 740-362-5035
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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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