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General NPI Number Information
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NPI Number | 1063527562
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Entity Type | Organization
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Legal Business Name | DEARTH MANAGEMENT, INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 134 NORTHWOODS BLVD
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City | COLUMBUS
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State | OH
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Zip | 43235-4727
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Country | US
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Telephone | 614-847-1070
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Fax | 614-847-1393
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Provider Business Mailing Address
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Address Line | 134 NORTHWOODS BLVD
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City | COLUMBUS
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State | OH
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Zip | 43235-4727
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Country | US
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Telephone | 614-847-1070
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Fax | 614-847-1393
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | TAMARA K SHEPHERD
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Credential |
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Telephone | 614-847-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | M5900207
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 411698
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 425015001
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License Number State | OH
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