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General NPI Number Information
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NPI Number | 1528603305
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Entity Type | Organization
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Legal Business Name | STONERIDGE HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 11/15/2019
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 104 N HAMILTON RD STE 1
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City | GAHANNA
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State | OH
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Zip | 43230-2602
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Country | US
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Telephone | 614-407-3225
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Fax | 614-810-2922
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Provider Business Mailing Address
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Address Line | 104 N HAMILTON RD STE 1
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City | GAHANNA
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State | OH
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Zip | 43230-2602
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Country | US
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Telephone | 614-446-3531
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Fax |
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Authorized Official
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Title or Position | C.E.O/PRESIDENT
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Name | ELIAS NDUATI
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Credential |
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Telephone | 614-446-3531
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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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