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General NPI Number Information
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NPI Number | 1073899985
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Entity Type | Organization
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Legal Business Name | OLUBUMI J JONES
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 3391 OMEGA DR
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City | COLUMBUS
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State | OH
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Zip | 43231-8833
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Country | US
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Telephone | 614-937-9131
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Fax |
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Provider Business Mailing Address
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Address Line | 3391 OMEGA DR
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City | COLUMBUS
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State | OH
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Zip | 43231-8833
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Country | US
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Telephone | 614-937-9131
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/C.E.O
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Name | MR. OLUBUMI JEFFEREY JONES
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Credential |
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Telephone | 614-937-9131
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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 | 201030700377
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License Number State | OH
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