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General NPI Number Information
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NPI Number | 1679766935
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Entity Type | Organization
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Legal Business Name | ANGELS IN DISGUISE OF CENTRAL OHIO
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 2 W WINTER ST SUITE 202
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City | DELAWARE
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State | OH
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Zip | 43015-1991
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Country | US
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Telephone | 740-363-1500
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Fax | 614-259-0063
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Provider Business Mailing Address
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Address Line | 2 W WINTER ST SUITE 202
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City | DELAWARE
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State | OH
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Zip | 43015-1991
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Country | US
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Telephone | 740-363-1500
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Fax | 614-259-0063
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RICHARD A CUSICK
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Credential |
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Telephone | 740-363-1500
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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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