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General NPI Number Information
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NPI Number | 1730616376
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Entity Type | Organization
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Legal Business Name | BEYOND HOMECARE L.L.C.
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Dates
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Enumeration Date | 05/14/2017
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 31 1/2 MONUMENT SQ
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City | URBANA
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State | OH
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Zip | 43078-2059
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Country | US
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Telephone | 937-704-4002
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Fax | 937-508-4343
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Provider Business Mailing Address
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Address Line | 31 1/2 MONUMENT SQ
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City | URBANA
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State | OH
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Zip | 43078-2059
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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 | OWNER
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Name | JESSICA THOMAS
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Credential |
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Telephone | 937-704-4002
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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 | OH
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Taxonomy #2
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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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