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General NPI Number Information
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NPI Number | 1407891740
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Entity Type | Organization
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Legal Business Name | OHIO COMMUNITY HEALTH CARE INC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4770 DUKE DR SUITE 195
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City | MASON
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State | OH
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Zip | 45040-9436
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Country | US
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Telephone | 513-336-6133
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Fax | 513-336-6134
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Provider Business Mailing Address
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Address Line | 6699 TRI WAY DR
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City | MASON
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State | OH
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Zip | 45040-2604
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Country | US
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Telephone | 513-336-6133
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Fax | 513-336-6134
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Authorized Official
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Title or Position | CFO
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Name | JAMES A BURTON
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Credential |
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Telephone | 614-258-8686
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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 | 1289264
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License Number State | OH
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