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General NPI Number Information
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NPI Number | 1396974929
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Entity Type | Organization
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Legal Business Name | MIRACLE HEALTH AGENCY, LLC
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 260 NORTHLAND BLVD STE 332
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City | CINCINNATI
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State | OH
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Zip | 45246-4921
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Country | US
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Telephone | 513-429-4605
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Fax |
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Provider Business Mailing Address
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Address Line | 260 NORTHLAND BLVD STE 332
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City | CINCINNATI
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State | OH
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Zip | 45246-4921
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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 | PRESIDENT
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Name | AHMED DUALE
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Credential |
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Telephone | 614-805-0101
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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 | OH
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