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General NPI Number Information
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NPI Number | 1225256571
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Entity Type | Organization
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Legal Business Name | ST. MARY'S HOME HEALTH
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 302 R SATE ST.
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City | PROCTORVILLE
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State | OH
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Zip | 45569-5504
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Country | US
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Telephone | 740-886-7505
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 399
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City | PROCTORVILLE
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State | OH
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Zip | 45669-0399
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Country | US
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Telephone | 740-886-7505
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ANGELA SWEARINGEN
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Credential |
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Telephone | 304-526-1224
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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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