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General NPI Number Information
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NPI Number | 1609406255
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Entity Type | Organization
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Legal Business Name | SK & AG HOME CARE LLC
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 13393 ERSTCROFT CT
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City | PICKERINGTON
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State | OH
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Zip | 43147-7864
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Country | US
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Telephone | 614-254-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 13393 ERSTCROFT CT
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City | PICKERINGTON
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State | OH
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Zip | 43147-7864
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Country | US
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Telephone | 614-254-1112
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | ELIZABETH SONGA
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Credential | RN, BSN
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Telephone | 614-254-1112
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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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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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