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General NPI Number Information
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NPI Number | 1295026995
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Entity Type | Organization
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Legal Business Name | HOSPICE OF NORTH CENTRAL OHIO, INC
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 1021 DAUCH DR
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City | ASHLAND
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State | OH
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Zip | 44805-8845
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Country | US
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Telephone | 419-281-7107
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Fax | 419-289-4880
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Provider Business Mailing Address
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Address Line | 1021 DAUCH DR
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City | ASHLAND
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State | OH
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Zip | 44805-8845
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Country | US
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Telephone | 419-281-7107
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Fax | 419-289-4880
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | KIMBERLY A GIFFIN
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Credential |
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Telephone | 419-281-7107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP28271
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.044505
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License Number State | OH
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