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General NPI Number Information
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NPI Number | 1275423659
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Entity Type | Organization
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Legal Business Name | EMPOWER PATH HOMES
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 868 VIRGINIABRADFORD CT
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City | ELSMERE
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State | KY
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Zip | 41018-2396
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Country | US
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Telephone | 859-904-9155
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Fax |
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Provider Business Mailing Address
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Address Line | 455 STANLEY AVE APT 1
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City | CINCINNATI
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State | OH
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Zip | 45226-1779
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Country | US
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Telephone | 267-694-2802
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ESTELLA NCHUMULUH
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Credential |
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Telephone | 415-690-6302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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