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General NPI Number Information
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NPI Number | 1528882909
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Entity Type | Individual
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Provider Name | APOLLO MCCAIN
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 5414 MILLERS RUN BACK RUN RD
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City | LUCASVILLE
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State | OH
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Zip | 45648-9169
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Country | US
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Telephone | 740-710-2839
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Fax |
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Provider Business Mailing Address
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Address Line | 5414 MILLERS RUN BACK RUN RD
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City | LUCASVILLE
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State | OH
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Zip | 45648-9169
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.378860
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN.378860
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License Number State | OH
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