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General NPI Number Information
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NPI Number | 1114173218
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Entity Type | Organization
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Legal Business Name | THE GENERATION HOME HEALTHCARE
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 225 W JOHNSTOWN RD APT 1E
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City | GAHANNA
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State | OH
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Zip | 43230-2790
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Country | US
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Telephone | 614-843-7207
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Fax |
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Provider Business Mailing Address
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Address Line | 225 W JOHNSTOWN RD APT 1E
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City | GAHANNA
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State | OH
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Zip | 43230-2790
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Country | US
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Telephone | 614-269-8338
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MR. ALBERT GYEBI
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Credential |
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Telephone | 614-269-8338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 330660
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License Number State | OH
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