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General NPI Number Information
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NPI Number | 1417182536
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Entity Type | Organization
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Legal Business Name | GREENSPRINGS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 10/04/2016
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Provider Practice Location Address
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Address Line | 633 N SPRINGBORO PIKE STE B
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City | WEST CARROLLTON
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State | OH
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Zip | 45449-3667
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Country | US
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Telephone | 937-746-4445
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Fax | 937-746-5444
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Provider Business Mailing Address
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Address Line | 633 N SPRINGBORO PIKE STE B
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City | WEST CARROLLTON
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State | OH
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Zip | 45449-3667
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Country | US
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Telephone | 937-746-4445
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Fax | 937-746-5444
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | MR. MIR MUNAWWER ALI
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Credential | R.N
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Telephone | 937-746-4445
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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 | 1844661
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License Number State | OH
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