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General NPI Number Information
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NPI Number | 1629221114
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Entity Type | Organization
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Legal Business Name | COHHA, LLC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 225 S EWING STREET
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-654-1000
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Fax | 740-654-1009
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Provider Business Mailing Address
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Address Line | 225 S. EWING STREET
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-654-1000
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Fax | 740-654-1009
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALEX SPIVAK
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Credential |
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Telephone | 740-200-3391
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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 | 53012659
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License Number State | OH
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