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General NPI Number Information
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NPI Number | 1619798923
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Entity Type | Organization
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Legal Business Name | VANGUARD UNITY HOLDINGS LLC
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Dates
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Enumeration Date | 10/19/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 2109 LANTERN DR
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City | COLUMBUS
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State | OH
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Zip | 43224-5015
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Country | US
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Telephone | 614-632-1572
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 LANTERN DR
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City | COLUMBUS
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State | OH
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Zip | 43224-5015
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Country | US
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Telephone | 614-632-1572
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMED ABDULLAHI WARSAME
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Credential | QMHS
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Telephone | 614-632-1572
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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