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General NPI Number Information
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NPI Number | 1285915108
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Entity Type | Organization
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Legal Business Name | OMNICARE HOME HEALTHCARE AGENCY, LLC
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 08/19/2016
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Provider Practice Location Address
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Address Line | 44 HILLWYCK DR
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City | TOLEDO
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State | OH
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Zip | 43615-5814
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Country | US
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Telephone | 419-720-0440
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Fax | 419-720-0441
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Provider Business Mailing Address
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Address Line | 44 HILLWYCK DR
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City | TOLEDO
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State | OH
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Zip | 43615-5814
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Country | US
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Telephone | 419-720-0440
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Fax | 419-720-0441
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTIAN OCHEI
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Credential |
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Telephone | 330-459-0398
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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 | 1362563
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License Number State | OH
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