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General NPI Number Information
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NPI Number | 1144935966
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Entity Type | Organization
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Legal Business Name | ENCORE CARE ASSOCIATION
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 7626 PARAGON RD # B
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City | CENTERVILLE
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State | OH
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Zip | 45459-4049
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Country | US
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Telephone | 937-504-2480
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Fax | 937-795-3144
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Provider Business Mailing Address
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Address Line | 7626 PARAGON RD # B
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City | CENTERVILLE
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State | OH
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Zip | 45459-4049
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Country | US
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Telephone | 937-504-2480
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Fax | 937-795-3144
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. TAMARA EVANS
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Credential |
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Telephone | 937-504-2480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 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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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 342000000X
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Taxonomy Name | Transportation Network Company
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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 | 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 #6
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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