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General NPI Number Information
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NPI Number | 1467833624
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Entity Type | Organization
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Legal Business Name | COJA ENTERPRISES, LLC
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Dates
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Enumeration Date | 06/14/2015
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 145 COURT ST SUITE 115
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City | OTTAWA
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State | OH
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Zip | 45875-1902
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Country | US
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Telephone | 419-615-4449
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Fax | 844-269-8666
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Provider Business Mailing Address
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Address Line | 145 COURT ST SUITE 115
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City | OTTAWA
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State | OH
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Zip | 45875-1902
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Country | US
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Telephone | 419-615-4449
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Fax | 844-269-8666
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SUZANNE MARIE BLANKEMEIER
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Credential | BSN, RN
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Telephone | 419-615-4449
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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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