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General NPI Number Information
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NPI Number | 1265484430
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Entity Type | Organization
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Legal Business Name | FUSSELL & HOLT, INC.
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2023 BELMONT AVE SUITE 9
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-2411
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Country | US
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Telephone | 330-744-2322
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Fax | 330-744-2350
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Provider Business Mailing Address
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Address Line | 2023 BELMONT AVE SUITE 9
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-2411
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Country | US
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Telephone | 330-744-2322
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Fax | 330-744-2350
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Authorized Official
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Title or Position | MANAGING DIRECTOR OF HOME HEALTH
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Name | MRS. KACYTHIA INGAM
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Credential | REGISTER NURSE
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Telephone | 330-744-2322
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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 | OH
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