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General NPI Number Information
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NPI Number | 1477874378
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Entity Type | Organization
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Legal Business Name | CE HEALTHCARE, LLC
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 25696 WILSON ST
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City | COOLVILLE
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State | OH
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Zip | 45723-9087
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Country | US
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Telephone | 740-350-9095
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Fax |
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Provider Business Mailing Address
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Address Line | 3546 DUNFEE RD
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City | COOLVILLE
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State | OH
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Zip | 45723-9722
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Country | US
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Telephone | 740-350-9095
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Fax | 201-661-2846
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. BRYAN L. CASEY
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Credential | LNHA
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Telephone | 740-350-9095
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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 | PENDING
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License Number State | OH
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