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General NPI Number Information
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NPI Number | 1548302003
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF SE OHIO INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 107 W COURT ST
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City | WOODSFIELD
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State | OH
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Zip | 43793-1018
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Country | US
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Telephone | 740-472-9000
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Fax | 740-472-9002
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Provider Business Mailing Address
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Address Line | 300 W WILSON BRIDGE RD STE 250
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City | WORTHINGTON
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State | OH
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Zip | 43085-2289
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Country | US
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Telephone | 614-436-9404
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Fax | 614-436-2056
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | THOMAS J DIMARCO
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Credential |
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Telephone | 614-436-9404
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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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