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General NPI Number Information
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NPI Number | 1629390091
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Entity Type | Organization
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Legal Business Name | MARIMART HEALTH CARE PLUS LLC
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 208 W JOHNSTOWN RD
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City | GAHANNA
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State | OH
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Zip | 43230-2731
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Country | US
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Telephone | 614-470-9755
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Fax |
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Provider Business Mailing Address
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Address Line | 208 W JOHNSTOWN RD STE
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City | GAHANNA
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State | OH
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Zip | 43230-2731
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Country | US
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Telephone | 614-470-9755
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Fax |
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Authorized Official
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Title or Position | RN CEO
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Name | MRS. MARIAMA D SISAY -JOHN
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Credential |
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Telephone | 614-470-9755
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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 | OH
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