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General NPI Number Information
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NPI Number | 1184881666
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Entity Type | Organization
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Legal Business Name | FULL-CARE HOME HEALTH LLC
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 06/21/2016
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Provider Practice Location Address
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Address Line | 1395 E DUBLIN GRANVILLE RD STE 400
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City | COLUMBUS
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State | OH
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Zip | 43229-3313
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Country | US
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Telephone | 614-476-8310
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Fax | 614-476-8625
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Provider Business Mailing Address
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Address Line | 1395 E DUBLIN GRANVILLE RD STE 400
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City | COLUMBUS
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State | OH
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Zip | 43229-3313
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Country | US
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Telephone | 614-476-8310
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Fax | 614-476-8625
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Authorized Official
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Title or Position | OWNER
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Name | ABDIRIZAK HASSAN
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Credential |
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Telephone | 614-476-8310
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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 | 1692576
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License Number State | OH
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