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NPI 1346837051

NPI 1346837051 : LORETTA COUNTS : VINTON, OH

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General NPI Number Information
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    NPI Number           |    1346837051
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    Entity Type          |    Individual 
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    Provider Name        |    LORETTA COUNTS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/29/2020
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    Last Update Date     |    12/29/2020
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Provider Practice Location Address
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    Address Line         |    19321 STATE ROUTE 160 
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    City                 |    VINTON
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    State                |    OH
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    Zip                  |    45686-9170
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    Country              |    US
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    Telephone            |    740-388-0054
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19325 STATE ROUTE 160 
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    City                 |    VINTON
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    State                |    OH
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    Zip                  |    45686-9170
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    Country              |    US
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    Telephone            |    740-577-6629
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    OH
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