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General NPI Number Information
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NPI Number | 1396010500
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Entity Type | Organization
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Legal Business Name | HOLISTIC SENIOR CARE, LLC
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 5799 FAIRWAY DR
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City | MASON
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State | OH
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Zip | 45040-8337
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Country | US
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Telephone | 513-492-9190
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Fax | 513-492-9190
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Provider Business Mailing Address
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Address Line | 5746 NAHANT AVE
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City | CINCINNATI
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State | OH
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Zip | 45224
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Country | US
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Telephone | 513-492-9190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIA S MASON
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Credential | STNA
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Telephone | 513-492-9190
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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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