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General NPI Number Information
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NPI Number | 1245543818
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Entity Type | Organization
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Legal Business Name | CHRISTIAN HOME CARE
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 1217 JEFFERSON AVE
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City | TOLEDO
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State | OH
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Zip | 43604-5806
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Country | US
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Telephone | 419-254-2840
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Fax |
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Provider Business Mailing Address
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Address Line | 1217 JEFFERSON AVE
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City | TOLEDO
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State | OH
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Zip | 43604-5806
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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 | MANAGER
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Name | SUSAN WENDT
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Credential |
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Telephone | 419-254-2840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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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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