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NPI 1073475588

NPI 1073475588 : MERCEDES LARISSA BINGEL : MARSHALLVILLE, OH

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General NPI Number Information
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    NPI Number           |    1073475588
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    Entity Type          |    Individual 
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    Provider Name        |    MERCEDES LARISSA BINGEL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/02/2025
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    11148 AKRON RD 
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    City                 |    MARSHALLVILLE
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    State                |    OH
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    Zip                  |    44645-9741
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    Country              |    US
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    Telephone            |    740-229-1289
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11148 AKRON RD 
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    City                 |    MARSHALLVILLE
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    State                |    OH
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    Zip                  |    44645-9741
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    Country              |    US
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    Telephone            |    740-229-1289
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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        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3747A0650X
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    Taxonomy Name        |    Attendant Care Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    UE877609
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    License Number State |    OH
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