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General NPI Number Information
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NPI Number | 1184991812
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Entity Type | Organization
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Legal Business Name | DOMINION HEALTH CARE SERVICES
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 1391 OAKLAND PARK AVE SUITE I
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City | COLUMBUS
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State | OH
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Zip | 43224-3567
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Country | US
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Telephone | 614-893-4030
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Fax | 614-725-2046
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Provider Business Mailing Address
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Address Line | 1391 OAKLAND PARK AVE SUITE I
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City | COLUMBUS
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State | OH
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Zip | 43224-3567
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Country | US
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Telephone | 614-893-4030
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Fax | 614-725-2046
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Authorized Official
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Title or Position | CEO
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Name | MS. BRENDA MCCLENDON
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Credential | L.P.N.
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Telephone | 614-893-4030
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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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