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NPI 1144651795

NPI 1144651795 : KHERE HOME HEALTHCARE LLC : COLUMBUS, OH

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General NPI Number Information
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    NPI Number           |    1144651795
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    Entity Type          |    Organization 
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    Legal Business Name  |    KHERE HOME HEALTHCARE LLC 
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Dates
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    Enumeration Date     |    12/09/2013
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    Last Update Date     |    12/09/2013
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Provider Practice Location Address
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    Address Line         |    1213 JOHN G MCCOY CIR 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43224-4152
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    Country              |    US
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    Telephone            |    614-377-4747
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    Fax                  |    614-414-7809
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Provider Business Mailing Address
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    Address Line         |    1213 JOHN G MCCOY CIR 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43224
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    Country              |    US
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    Telephone            |    614-377-4747
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    Fax                  |    614-414-7809
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     MAYMUNA MAHAMUD YUSUF 
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    Credential           |    
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    Telephone            |    614-377-4747
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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 |    OH
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