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General NPI Number Information
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NPI Number | 1265738728
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Entity Type | Organization
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Legal Business Name | ALTERNATIVECAREHOMEHEALTHSERVICE
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 618 R0BINWWOD AVE
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City | COLUMBUS
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State | OH
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Zip | 43213-1755
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Country | US
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Telephone | 614-599-5918
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Fax | 614-525-0066
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Provider Business Mailing Address
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Address Line | 618 ROBINWOOD AVE
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City | COLUMBUS
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State | OH
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Zip | 43213-1755
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Country | US
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Telephone | 614-599-5918
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Fax | 614-525-0066
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Authorized Official
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Title or Position | CEO
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Name | MRS. FELICE MICHELLE HORTON
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Credential | NONE
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Telephone | 614-599-5918
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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 | RN380886
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License Number State | OH
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