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General NPI Number Information
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NPI Number | 1699043042
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Entity Type | Organization
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Legal Business Name | NORDSTAR HOME HEALTH SERVICES, LLC.
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 3040 EAST MAIN STREET LOWER LEVEL
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City | COLUMBUS
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State | OH
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Zip | 43209-2644
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Country | US
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Telephone | 614-725-0337
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Fax | 614-725-0728
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Provider Business Mailing Address
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Address Line | 3040 EAST MAIN STREET, LOWER LEVEL
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City | COLUMBUS
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State | OH
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Zip | 43209-2644
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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 | CEO
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Name | STELLA N NKEMNKENG
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Credential |
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Telephone | 614-370-2208
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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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