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General NPI Number Information
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NPI Number | 1326406646
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Entity Type | Organization
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Legal Business Name | DONNA M SCARBERRY
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 38268 WOLF PEN RD
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City | POMEROY
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State | OH
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Zip | 45769-9506
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Country | US
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Telephone | 740-444-3623
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Fax |
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Provider Business Mailing Address
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Address Line | 38268 WOLF PEN RD
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City | POMEROY
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State | OH
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Zip | 45769-9506
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Country | US
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Telephone | 740-444-3623
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Fax |
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Authorized Official
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Title or Position | NON AGENCY PROVIDER
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Name | MRS. DONNA M SCARBERRY
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Credential |
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Telephone | 740-444-3623
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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 | 0103001
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License Number State | OH
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