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General NPI Number Information
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NPI Number | 1720372030
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Entity Type | Organization
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Legal Business Name | RADCLIFF HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 6478 HUDNELL RD
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City | ATHENS
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State | OH
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Zip | 45701-9275
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Country | US
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Telephone | 740-592-9800
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Fax | 740-592-9801
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Provider Business Mailing Address
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Address Line | 6478 HUDNELL RD
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City | ATHENS
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State | OH
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Zip | 45701-9275
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Country | US
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Telephone | 740-592-9800
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Fax | 740-592-9801
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. GRACIE A PERRY
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Credential | RMA
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Telephone | 740-592-9800
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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 | 15079856
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License Number State | OH
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