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General NPI Number Information
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NPI Number | 1114638210
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Entity Type | Organization
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Legal Business Name | WELCOME HOME SIS
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 58970 VOCATIONAL RD
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City | BYESVILLE
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State | OH
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Zip | 43723-9764
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Country | US
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Telephone | 740-705-4330
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 125
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City | BYESVILLE
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State | OH
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Zip | 43723-0125
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Country | US
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Telephone | 740-705-4330
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANGELA M REGAN
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Credential |
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Telephone | 740-705-4330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health 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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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