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General NPI Number Information
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NPI Number | 1447951736
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Entity Type | Organization
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Legal Business Name | SHALO HEALTHCARE INC
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 2045 OBSERVATORY RD
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City | MARTINSVILLE
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State | IN
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Zip | 46151-7833
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Country | US
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Telephone | 317-534-7728
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 OBSERVATORY RD
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City | MARTINSVILLE
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State | IN
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Zip | 46151-7833
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRANDIE BISZANTZ
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Credential |
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Telephone | 765-315-0234
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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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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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