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General NPI Number Information
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NPI Number | 1295039618
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Entity Type | Organization
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Legal Business Name | OURHEART HEALTH CARE SERIVCES LLC
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Dates
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Enumeration Date | 12/28/2010
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 89 N 22ND ST
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City | COLUMBUS
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State | OH
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Zip | 43203-1927
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Country | US
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Telephone | 180-041-9356
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Fax | 614-423-6765
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Provider Business Mailing Address
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Address Line | 89 N 22ND ST
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City | COLUMBUS
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State | OH
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Zip | 43203-1927
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Country | US
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Telephone | 180-041-9356
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Fax | 614-423-6765
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Authorized Official
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Title or Position | OWNER
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Name | ERICA MARIE COIT
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Credential | OWNER
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Telephone | 18004193561
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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 | 251E00000X
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License Number State | OH
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