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General NPI Number Information
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NPI Number | 1588717615
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Entity Type | Organization
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Legal Business Name | VANGUARD HOME HEALTH CARE INC
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 3314 MORSE RD STE 208
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City | COLUMBUS
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State | OH
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Zip | 43231-6100
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Country | US
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Telephone | 614-376-9161
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Fax |
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Provider Business Mailing Address
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Address Line | 3314 MORSE RD STE 208
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City | COLUMBUS
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State | OH
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Zip | 43231-6100
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Country | US
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Telephone | 614-376-9161
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Fax | 614-342-2615
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ABDIKARIM ALI OMAR
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Credential |
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Telephone | 614-414-7375
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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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