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General NPI Number Information
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NPI Number | 1538442876
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Entity Type | Organization
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Legal Business Name | ERNESTINE HEALTHCARE
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Dates
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Enumeration Date | 09/22/2011
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 47 JORDANA DR
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City | GAHANNA
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State | OH
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Zip | 43230-4406
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Country | US
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Telephone | 614-446-6016
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Fax |
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Provider Business Mailing Address
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Address Line | 47 JORDANA DR
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City | GAHANNA
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State | OH
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Zip | 43230-4406
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Country | US
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Telephone | 614-446-6016
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MS. ENESTINE AZENKENG TASONG
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Credential |
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Telephone | 614-446-6016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 342944
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 342944
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 342944
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 342944
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 342944
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 342944
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 342944
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 342944
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 342944
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License Number State | OH
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