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General NPI Number Information
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NPI Number | 1689083214
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Entity Type | Organization
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Legal Business Name | COLUMBUS WEST PARK HOME HEALTH & ADULT DAY SERVICES LLC
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 2731 CLIME RD
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City | COLUMBUS
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State | OH
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Zip | 43223-3625
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Country | US
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Telephone | 614-274-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 2731 CLIME RD
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City | COLUMBUS
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State | OH
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Zip | 43223-3625
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRYANT MOHLER
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Credential |
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Telephone | 614-274-4005
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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 | 1505377
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License Number State | OH
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