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General NPI Number Information
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NPI Number | 1568960367
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Entity Type | Organization
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Legal Business Name | WELLNESS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 2700 CROSSROADS PLAZA DR SUITE A
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City | COLUMBUS
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State | OH
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Zip | 43219
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Country | US
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Telephone | 614-592-8404
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 CROSSROADS PLAZA DR STE A
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City | COLUMBUS
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State | OH
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Zip | 43219-3442
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Country | US
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Telephone | 614-592-8404
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Fax |
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Authorized Official
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Title or Position | CREDENTIALS
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Name | AHMED MOHAMED KAMBI
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Credential |
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Telephone | 614-592-8404
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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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