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General NPI Number Information
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NPI Number | 1053741108
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Entity Type | Organization
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Legal Business Name | CINCINNATI SUPPORT SERVICES
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 1821 SUMMIT RD STE 216
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City | CINCINNATI
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State | OH
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Zip | 45237-2822
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Country | US
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Telephone | 513-834-5298
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Fax | 513-297-6021
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Provider Business Mailing Address
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Address Line | 1821 SUMMIT RD STE 216
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City | CINCINNATI
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State | OH
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Zip | 45237-2822
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Country | US
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Telephone | 513-834-5298
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Fax | 513-297-6021
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MISS JANAE N WALKER
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Credential |
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Telephone | 513-253-9612
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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 | 0087137
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License Number State | OH
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