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General NPI Number Information
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NPI Number | 1215747886
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Entity Type | Organization
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Legal Business Name | PATH HOME CARE
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 5440 ROCKHURST DR
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-7986
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Country | US
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Telephone | 616-206-5829
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Fax |
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Provider Business Mailing Address
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Address Line | 5440 ROCKHURST DR
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-7986
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMIN
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Name | HEM P GAUTAM
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Credential |
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Telephone | 616-337-9481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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