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General NPI Number Information
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NPI Number | 1609015486
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN OHIO HOME HEALTH & STAFFING SOLUTIONS INC
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 95 S MULBERRY ST
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City | LOGAN
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State | OH
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Zip | 43138-1240
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Country | US
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Telephone | 740-385-8000
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Fax | 740-385-8004
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Provider Business Mailing Address
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Address Line | 95 S MULBERRY ST
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City | LOGAN
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State | OH
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Zip | 43138-1240
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Country | US
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Telephone | 740-385-8000
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Fax | 740-385-8004
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. RUBY HARTLEY
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Credential | RN
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Telephone | 740-385-8000
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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 | 1780388
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License Number State | OH
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