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NPI 1417097205

NPI 1417097205 : OHIO VALLEY SENIOR COMPANIONS : HENDERSON, KY

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General NPI Number Information
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    NPI Number           |    1417097205
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    Entity Type          |    Organization 
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    Legal Business Name  |    OHIO VALLEY SENIOR COMPANIONS 
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Dates
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    Enumeration Date     |    02/08/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    795 WOODSPOINT DR 
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    City                 |    HENDERSON
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    State                |    KY
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    Zip                  |    42420-2116
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    Country              |    US
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    Telephone            |    270-844-0092
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    Fax                  |    270-844-0093
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Provider Business Mailing Address
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    Address Line         |    795 WOODSPOINT DR 
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    City                 |    HENDERSON
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    State                |    KY
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    Zip                  |    42420-2116
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    Country              |    US
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    Telephone            |    270-844-0092
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    Fax                  |    270-844-0093
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. LAWRENCE K LIEN 
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    Credential           |    
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    Telephone            |    270-844-0092
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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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