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General NPI Number Information
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NPI Number | 1265840623
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Entity Type | Organization
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Legal Business Name | ON-SITE HEALTH SOLUTIONS
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 1251 N EDDY ST STE 201
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City | SOUTH BEND
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State | IN
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Zip | 46617-1486
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Country | US
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Telephone | 574-243-5108
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Fax | 574-243-0185
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Provider Business Mailing Address
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Address Line | 1251 N EDDY ST STE 201
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City | SOUTH BEND
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State | IN
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Zip | 46617-1486
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Country | US
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Telephone | 574-243-5108
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Fax | 574-243-0185
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Authorized Official
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Title or Position | CHIEF DEVELOPMENT OFFICER
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Name | MR. DARYL ZERNICK
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Credential |
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Telephone | 574-243-5108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 28133795A
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License Number State | IN
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