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General NPI Number Information
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NPI Number | 1447977665
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Entity Type | Organization
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Legal Business Name | SISTER HOME HEALTH CARE PROVIDER LLC
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 4314 SARAH DR
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City | ENGLEWOOD
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State | OH
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Zip | 45322-2563
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Country | US
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Telephone | 937-681-8206
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Fax | 937-540-8831
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Provider Business Mailing Address
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Address Line | 4314 SARAH DR
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City | ENGLEWOOD
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State | OH
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Zip | 45322-2563
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Country | US
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Telephone | 937-681-8206
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Fax | 937-540-8831
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Authorized Official
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Title or Position | CEO
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Name | MS. DEBORAH ANN CRAWL
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Credential |
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Telephone | 937-681-8206
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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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