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General NPI Number Information
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NPI Number | 1457061798
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Entity Type | Organization
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Legal Business Name | THEE AGENCY
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 4661 MERRICK DR
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City | DAYTON
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State | OH
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Zip | 45415-3354
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Country | US
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Telephone | 937-671-9117
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Fax |
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Provider Business Mailing Address
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Address Line | 4661 MERRICK DR
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City | DAYTON
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State | OH
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Zip | 45415-3354
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Country | US
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Telephone | 937-671-9117
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TISCHA ELAINE COATES
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Credential |
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Telephone | 937-671-9117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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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 | 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 #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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