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General NPI Number Information
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NPI Number | 1740583558
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Entity Type | Individual
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Provider Name | MRS. OKSANA GEORGY AMINOV
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Gender | Female
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 604 INDIAN LAKE DR
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City | MAINEVILLE
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State | OH
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Zip | 45039
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Country | US
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Telephone | 513-770-0501
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Fax | 513-770-2901
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Provider Business Mailing Address
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Address Line | 604 INDIAN LAKE DR
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City | MAINEVILLE
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State | OH
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Zip | 45039-8253
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Country | US
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Telephone | 513-770-0501
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Fax | 513-770-2901
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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