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General NPI Number Information
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NPI Number | 1629850102
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Entity Type | Organization
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Legal Business Name | NINA'S HEALTH CARE NEW LEX,INC
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 445 W BROADWAY ST
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City | NEW LEXINGTON
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State | OH
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Zip | 43764-1097
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Country | US
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Telephone | 740-343-4153
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Fax | 740-343-4142
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Provider Business Mailing Address
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Address Line | 6455 E LIVINGSTON AVE
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-3589
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Country | US
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Telephone | 614-314-5416
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GRACE FONGOD
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Credential | RN
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Telephone | 614-314-5416
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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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