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General NPI Number Information
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NPI Number | 1477931467
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Entity Type | Organization
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Legal Business Name | SISTERS INQORPORATED LLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 5990 E LIVINGSTON AVE
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City | COLUMBUS
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State | OH
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Zip | 43232-2927
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Country | US
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Telephone | 614-657-5995
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Fax | 614-626-3632
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Provider Business Mailing Address
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Address Line | 1521 NOE BIXBY RD
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City | COLUMBUS
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State | OH
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Zip | 43232-1580
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Country | US
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Telephone | 614-657-5995
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Fax | 614-626-3632
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Authorized Official
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Title or Position | CEO/OWNER
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Name | KALICE SMITH-MOCK
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Credential | RN
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Telephone | 614-657-5995
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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 | 2391432
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License Number State | OH
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