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General NPI Number Information
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NPI Number | 1538813605
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Entity Type | Organization
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Legal Business Name | HEALTHY HEARTS AGENCY
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 31 W APPLE ST
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City | DAYTON
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State | OH
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Zip | 45402-2653
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Country | US
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Telephone | 937-738-8661
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Fax |
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Provider Business Mailing Address
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Address Line | 900 S PATTERSON BLVD
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City | DAYTON
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State | OH
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Zip | 45402-2625
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Country | US
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Telephone | 937-738-8661
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YUSEF MOHAMAD ABDEL
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Credential |
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Telephone | 937-738-8661
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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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