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General NPI Number Information
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NPI Number | 1588114821
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Entity Type | Organization
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Legal Business Name | BY YOUR SIDE HOMECARE
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Dates
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Enumeration Date | 10/11/2016
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 1818 GARDEN LN
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City | CINCINNATI
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State | OH
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Zip | 45237-5722
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Country | US
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Telephone | 513-680-3918
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 GARDEN LN
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City | CINCINNATI
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State | OH
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Zip | 45237-5722
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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 | OWNER/CEO
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Name | RYAN BRADLEY
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Credential |
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Telephone | 513-680-3918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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