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General NPI Number Information
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NPI Number | 1114555844
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Entity Type | Organization
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Legal Business Name | PACE HOMECARE AND MEDICAL EQUIPMENT LTD.
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 11497 SPRINGFIELD PIKE STE 4
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City | CINCINNATI
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State | OH
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Zip | 45246-3551
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Country | US
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Telephone | 513-390-4274
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Fax |
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Provider Business Mailing Address
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Address Line | 11497 SPRINGFIELD PIKE STE 4
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City | CINCINNATI
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State | OH
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Zip | 45246-3551
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Country | US
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Telephone | 513-390-4274
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARILYN UWAEZUOKE
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Credential |
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Telephone | 513-390-4274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities 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 | 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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