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General NPI Number Information
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NPI Number | 1629263926
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 6119 E MAIN ST STE 201
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City | COLUMBUS
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State | OH
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Zip | 43213-3358
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Country | US
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Telephone | 614-496-8921
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Fax |
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Provider Business Mailing Address
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Address Line | 6119 E MAIN ST STE 201
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City | COLUMBUS
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State | OH
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Zip | 43213-3358
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Country | US
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Telephone | 614-496-8921
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BRITTANY E NOONE
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Credential |
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Telephone | 614-496-8921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1723654
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License Number State | OH
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