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General NPI Number Information
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NPI Number | 1740749845
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Entity Type | Organization
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Legal Business Name | OMBI HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 2728 COLONIAL AVE SW STE 123
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City | ROANOKE
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State | VA
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Zip | 24015-3802
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Country | US
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Telephone | 540-278-9748
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Fax |
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Provider Business Mailing Address
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Address Line | 2728 COLONIAL AVE SW STE 123
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City | ROANOKE
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State | VA
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Zip | 24015-3802
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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 | IRIHOSE OBEDI
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Credential |
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Telephone | 540-278-9748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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