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General NPI Number Information
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NPI Number | 1154722510
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Entity Type | Organization
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Legal Business Name | CARESTAFF OHIO HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 2059 CATALPA DR
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City | DAYTON
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State | OH
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Zip | 45406-3037
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Country | US
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Telephone | 937-397-9289
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Fax | 937-813-8009
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Provider Business Mailing Address
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Address Line | 2059 CATALPA DR
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City | DAYTON
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State | OH
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Zip | 45406-3037
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Country | US
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Telephone | 937-397-9289
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Fax | 937-813-8009
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TANIA BAXTER
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Credential |
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Telephone | 937-907-1009
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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 |
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