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NPI 1083923593

NPI 1083923593 : WISEDOM HOME HEALTH CARE LLP : HAMILTON, OH

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General NPI Number Information
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    NPI Number           |    1083923593
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    Entity Type          |    Organization 
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    Legal Business Name  |    WISEDOM HOME HEALTH CARE LLP 
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Dates
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    Enumeration Date     |    09/30/2010
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    Last Update Date     |    11/09/2010
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Provider Practice Location Address
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    Address Line         |    4124 ALSACE LN 
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    City                 |    HAMILTON
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    State                |    OH
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    Zip                  |    45011-7324
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    Country              |    US
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    Telephone            |    513-807-1101
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4124 ALSACE LN 
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    City                 |    HAMILTON
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    State                |    OH
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    Zip                  |    45011-7324
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |     VICTORINE TENGU EKOKO 
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    Credential           |    
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    Telephone            |    513-807-1101
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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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