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General NPI Number Information
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NPI Number | 1376266916
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Entity Type | Organization
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Legal Business Name | ALLGEN HOUSE CALLS LLC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 6545 MARKET AVE N STE 100
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City | CANTON
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State | OH
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Zip | 44721-2430
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Country | US
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Telephone | 513-225-3137
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Fax |
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Provider Business Mailing Address
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Address Line | 8465 COLERAIN AVE # 1145
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City | CINCINNATI
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State | OH
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Zip | 45239-3926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FNP-C
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Name | DORCAS AMUNGA-MIREE
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Credential | DNP
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Telephone | 513-225-3137
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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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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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