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General NPI Number Information
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NPI Number | 1689162562
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Entity Type | Organization
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Legal Business Name | BEYOND HEALTHCARE OHIO
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 5340 E MAIN ST STE 205
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City | WHITEHALL
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State | OH
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Zip | 43213-2574
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Country | US
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Telephone | 614-845-8181
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Fax | 614-868-3211
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Provider Business Mailing Address
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Address Line | 5340 E MAIN ST STE 205
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City | WHITEHALL
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State | OH
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Zip | 43213-2574
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Country | US
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Telephone | 614-845-8181
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BENJAMIN NOUDEH TARR
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Credential |
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Telephone | 614-845-8181
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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 | 4069720
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License Number State | OH
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