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General NPI Number Information
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NPI Number | 1356049019
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Entity Type | Organization
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Legal Business Name | BUCKEYE BED BUG DETECTION
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 2510 COUNTY LINE RD NE
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City | RUSHVILLE
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State | OH
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Zip | 43150-9720
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Country | US
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Telephone | 614-949-9058
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 COUNTY LINE RD NE
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City | RUSHVILLE
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State | OH
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Zip | 43150-9720
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Country | US
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Telephone | 614-949-9058
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER HAWKS
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Credential |
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Telephone | 614-949-9058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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