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General NPI Number Information
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NPI Number | 1437570611
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Entity Type | Organization
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Legal Business Name | RENT A NURSE
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Dates
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Enumeration Date | 12/14/2013
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Last Update Date | 12/14/2013
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Provider Practice Location Address
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Address Line | 4133 RODEO DR
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City | SYLVANIA
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State | OH
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Zip | 43560-3281
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Country | US
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Telephone | 567-455-1013
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Fax | 419-754-9967
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Provider Business Mailing Address
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Address Line | 4133 RODEO DR
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City | SYLVANIA
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State | OH
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Zip | 43560-3281
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Country | US
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Telephone | 567-455-1013
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Fax | 419-754-9967
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BRITTANY A BATES
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Credential | RN
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Telephone | 567-455-1013
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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 | RN347194
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License Number State | OH
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