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General NPI Number Information
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NPI Number | 1518375344
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Entity Type | Organization
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Legal Business Name | AMERIPASS HOME HEATHCARE LLC
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 330 JAMES BOHANAN DR
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City | VANDALIA
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State | OH
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Zip | 45377-2341
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Country | US
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Telephone | 937-387-0200
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Fax | 937-387-0096
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Provider Business Mailing Address
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Address Line | 330 JAMES BOHANAN DR
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City | VANDALIA
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State | OH
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Zip | 45377-2341
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Country | US
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Telephone | 937-387-0200
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Fax | 937-387-0096
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RONDA RAE ALLEN
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Credential | RN
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Telephone | 937-387-0200
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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 | 1659260
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License Number State | OH
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