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General NPI Number Information
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NPI Number | 1710708920
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Entity Type | Organization
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Legal Business Name | ATABA ORGANIZATION LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 3674 ELMORE CT E
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City | COLUMBUS
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State | OH
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Zip | 43224-2843
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Country | US
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Telephone | 216-301-9406
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Fax |
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Provider Business Mailing Address
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Address Line | 3674 ELMORE CT E
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City | COLUMBUS
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State | OH
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Zip | 43224-2843
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Country | US
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Telephone | 216-301-9406
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | XAVIER ATABA ANYANGWE
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Credential |
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Telephone | 240-245-7305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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