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General NPI Number Information
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NPI Number | 1356092555
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Entity Type | Organization
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Legal Business Name | COUNTRY HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | 10400 BLACKLICK EASTERN RD STE 110
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City | PICKERINGTON
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State | OH
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Zip | 43147-7702
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Country | US
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Telephone | 614-568-1414
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Fax | 614-701-9934
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Provider Business Mailing Address
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Address Line | 8111 MANDALAY RD
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City | BLACKLICK
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State | OH
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Zip | 43004-9219
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Country | US
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Telephone | 614-973-3270
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Fax | 614-701-9934
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Authorized Official
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Title or Position | OWNER/OFFICE MANAGER
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Name | MRS. BHIM M SUBEDI
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Credential |
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Telephone | 614-568-1414
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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