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General NPI Number Information
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NPI Number | 1356255079
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Entity Type | Organization
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Legal Business Name | BERNITA CORPORATION INC.
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 894 HOUSTON HOLLOW LONG RUN RD
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City | LUCASVILLE
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State | OH
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Zip | 45648-8424
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Country | US
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Telephone | 740-259-1110
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Fax | 740-259-1441
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Provider Business Mailing Address
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Address Line | 894 HOUSTON HOLLOW LONG RUN RD
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City | LUCASVILLE
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State | OH
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Zip | 45648-8424
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Country | US
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Telephone | 740-259-1110
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Fax | 740-259-1441
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Authorized Official
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Title or Position | OWNER/DOO
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Name | MS. DEBORAH KAY WILSON
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Credential |
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Telephone | 740-981-9024
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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 | NULL
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