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General NPI Number Information
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NPI Number | 1437899374
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Entity Type | Organization
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Legal Business Name | THE O'NEAL WELLNESS HOME LLC
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 4439 READING RD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45229-1256
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Country | US
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Telephone | 513-371-8041
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Fax | 513-586-0434
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Provider Business Mailing Address
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Address Line | 4439 READING RD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45229-1256
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Country | US
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Telephone | 513-371-8041
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHENIEA DONNISE O'NEAL
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Credential |
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Telephone | 513-371-8041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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