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General NPI Number Information
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NPI Number | 1285857938
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Entity Type | Organization
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Legal Business Name | OHIO SENIORSUPPORT
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1207 COLSTON DR
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City | WESTERVILLE
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State | OH
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Zip | 43081-3685
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Country | US
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Telephone | 614-818-9336
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Fax |
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Provider Business Mailing Address
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Address Line | 855 S SUNBURY RD STE 202
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City | WESTERVILLE
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State | OH
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Zip | 43081-9553
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Country | US
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Telephone | 614-818-9336
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RONALD JEAN PAUL
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Credential | RN
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Telephone | 614-818-9336
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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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