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General NPI Number Information
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NPI Number | 1497604847
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Entity Type | Organization
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Legal Business Name | MOSAIC CARE, LLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 2087 CLAY STONE PL
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-4907
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Country | US
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Telephone | 857-330-9239
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Fax |
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Provider Business Mailing Address
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Address Line | 2087 CLAY STONE PL
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-4907
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MOUSSA CISSE
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Credential | MPA
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Telephone | 857-330-9239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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