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General NPI Number Information
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NPI Number | 1417678855
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Entity Type | Organization
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Legal Business Name | OUR FAMILY LEGACY LLC
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 11 GARFIELD PL # 1017
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City | CINCINNATI
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State | OH
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Zip | 45202-4301
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Country | US
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Telephone | 513-399-7360
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Fax | 513-880-0386
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Provider Business Mailing Address
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Address Line | 11 GARFIELD PL # 1017
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City | CINCINNATI
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State | OH
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Zip | 45202-4301
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Country | US
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Telephone | 513-399-7360
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Fax | 513-880-0386
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER COLE
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Credential |
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Telephone | 513-885-4267
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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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