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General NPI Number Information
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NPI Number | 1407129653
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Entity Type | Organization
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Legal Business Name | YOUR CHOICE HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 2230 VILLAGE MALL DR STE 600
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City | ONTARIO
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State | OH
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Zip | 44906-4025
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Country | US
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Telephone | 567-333-0621
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Fax | 567-429-2900
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Provider Business Mailing Address
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Address Line | 2230 VILLAGE MALL DR STE 600
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City | ONTARIO
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State | OH
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Zip | 44906-4025
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Country | US
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Telephone | 567-333-0621
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Fax | 567-429-2900
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MICHAEL S MAZAK
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Credential | OTR/L
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Telephone | 419-961-6865
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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 | 2021212
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License Number State | OH
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