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General NPI Number Information
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NPI Number | 1164793907
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Entity Type | Organization
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Legal Business Name | CERID HOME HEALTH CARE
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 06/28/2012
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Provider Practice Location Address
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Address Line | 5918 SHARON WOODS BLVD SUITE 210
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City | COLUMBUS
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State | OH
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Zip | 43229-2668
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Country | US
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Telephone | 614-599-2731
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Fax |
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Provider Business Mailing Address
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Address Line | 2076 TANGLEWOOD CT APT B
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City | COLUMBUS
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State | OH
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Zip | 43224-2992
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Country | US
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Telephone | 614-599-2731
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. OMAR MOHAMED ABDI
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Credential | MBA
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Telephone | 614-599-2731
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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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