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General NPI Number Information
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NPI Number | 1235448630
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Entity Type | Organization
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Legal Business Name | INDEPENDENT LIVING SOLUTIONS, LLC
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Dates
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Enumeration Date | 10/02/2010
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Last Update Date | 10/02/2010
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Provider Practice Location Address
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Address Line | 5531 PENSWORTHY DR
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City | DUBLIN
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State | OH
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Zip | 43016-6096
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Country | US
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Telephone | 614-425-8767
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Fax | 614-364-7468
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Provider Business Mailing Address
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Address Line | 5531 PENSWORTHY DR
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City | DUBLIN
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State | OH
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Zip | 43016-6096
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Country | US
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Telephone | 614-425-8767
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Fax | 614-364-7468
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Authorized Official
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Title or Position | OWNER, OTR/L, CAPS
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Name | MRS. KARA BEAMISH
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Credential |
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Telephone | 614-425-8767
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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 | 6358
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License Number State | OH
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