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General NPI Number Information
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NPI Number | 1174331813
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Entity Type | Organization
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Legal Business Name | EBONY BIG HEART CARE HOMES
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 1315 WALNUT ST
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City | CINCINNATI
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State | OH
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Zip | 45202-7126
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Country | US
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Telephone | 513-796-5314
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Fax | 283-202-1449
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Provider Business Mailing Address
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Address Line | 1315 WALNUT ST
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City | CINCINNATI
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State | OH
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Zip | 45202-7126
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Country | US
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Telephone | 513-796-5314
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Fax |
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Authorized Official
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Title or Position | OWER
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Name | EBONY WADE
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Credential |
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Telephone | 513-780-3980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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