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General NPI Number Information
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NPI Number | 1497340913
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Entity Type | Organization
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Legal Business Name | BELOVED ONE HOME HEALTH CARE AGENCY
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 6161 BUSH BLVD SUITE 320
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City | COLUMBUS
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State | OH
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Zip | 43229
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Country | US
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Telephone | 740-602-9860
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Fax |
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Provider Business Mailing Address
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Address Line | 6161 BUSH BLVD SUITE 320
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City | COLUMBUS
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State | OH
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Zip | 43229
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Country | US
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Telephone | 740-602-9860
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HALIMO SIYAD
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Credential | HOME HEALTH AIDE
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Telephone | 740-602-9860
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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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