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General NPI Number Information
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NPI Number | 1376250274
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Entity Type | Organization
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Legal Business Name | FAMILY SUPPORT CARE LLC SKILLED
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 3991 HAMILTON MIDDLETOWN RD STE I
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City | HAMILTON
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State | OH
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Zip | 45011-6224
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Country | US
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Telephone | 513-795-7299
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Fax | 513-795-6679
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Provider Business Mailing Address
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Address Line | 3991 HAMILTON MIDDLETOWN RD STE I
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City | HAMILTON
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State | OH
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Zip | 45011-6224
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Country | US
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Telephone | 513-795-7299
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Fax | 513-795-6679
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CLEOPATRA KUM
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Credential |
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Telephone | 513-586-8249
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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 |
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License Number State |
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