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General NPI Number Information
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NPI Number | 1134919780
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Entity Type | Organization
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Legal Business Name | 4 OUR COMMUNITY LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 65 E WILSON BRINGGE RD SUITE 302 WITHINGTON 65 E WILSON BRINGGE RD SUITE 302 WITHINGTON
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City | WOTHINGTON
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State | OH
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Zip | 43085
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Country | US
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Telephone | 614-439-0493
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Fax |
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Provider Business Mailing Address
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Address Line | 65 E WILSON BRINGGE RD SUITE 302 WITHINGTON 65 E WILSON BRINGGE RD SUITE 302 WITHINGTON
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City | WORTHINGTON
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State | OH
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Zip | 43085-2704
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Country | US
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Telephone | 614-493-0493
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FARAHIO KHADAR YUSUF
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Credential |
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Telephone | 614-439-0493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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