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General NPI Number Information
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NPI Number | 1225543663
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Entity Type | Organization
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Legal Business Name | CAREGIVERS OF CENTRAL OHIO, LLC
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Dates
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Enumeration Date | 12/07/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 8121 TRAILHAWK DR
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City | BLACKLICK
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State | OH
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Zip | 43004-7187
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Country | US
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Telephone | 614-309-2195
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Fax |
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Provider Business Mailing Address
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Address Line | 20 S 3RD ST STE 210
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City | COLUMBUS
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State | OH
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Zip | 43215-4206
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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 | OWNER
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Name | SARITA A WALLACE
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Credential |
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Telephone | 614-309-2195
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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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