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General NPI Number Information
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NPI Number | 1487992236
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Entity Type | Organization
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Legal Business Name | CREATIVE OPTIONS, LLC
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 3829 ATTUCKS DRIVE
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City | POWELL
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State | OH
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Zip | 43065-6082
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Country | US
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Telephone | 614-769-2499
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Fax | 614-389-1419
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Provider Business Mailing Address
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Address Line | 3829 ATTUCKS DRIVE
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City | POWELL
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State | OH
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Zip | 43065-6082
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Country | US
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Telephone | 614-769-2499
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Fax | 614-389-1419
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. DANIELLE ABEL
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Credential |
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Telephone | 614-769-2499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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