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General NPI Number Information
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NPI Number | 1205262136
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Entity Type | Organization
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Legal Business Name | AMPLE HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 12/19/2014
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Provider Practice Location Address
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Address Line | 77 E WILSON BRIDGE RD SUITE 104
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City | WORTHINGTON
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State | OH
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Zip | 43085-2365
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Country | US
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Telephone | 614-701-9898
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Fax | 614-701-9891
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Provider Business Mailing Address
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Address Line | 8917 S OLD STATE RD SUITE 116
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9146
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Country | US
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Telephone | 614-701-9898
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Fax | 614-701-9891
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | LARRON PERRY
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Credential |
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Telephone | 785-760-2742
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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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