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General NPI Number Information
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NPI Number | 1487269841
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Entity Type | Individual
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Provider Name | MICHELLE H ONEILL
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Gender | Female
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Dates
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Enumeration Date | 09/12/2020
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 3607 DEVANEY CT
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City | COLUMBUS
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State | OH
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Zip | 43230-1667
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Country | US
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Telephone | 614-980-6020
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Fax |
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Provider Business Mailing Address
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Address Line | 412 S TOWNSHIP RD
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City | PATASKALA
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State | OH
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Zip | 43062-8284
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Country | US
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Telephone | 740-927-6803
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 4506163
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License Number State | OH
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Taxonomy #2
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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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