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General NPI Number Information
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NPI Number | 1750635199
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Entity Type | Organization
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Legal Business Name | GMR EXCEPTIONAL CARE INC.
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 6721 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45224-1040
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Country | US
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Telephone | 513-821-6168
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Fax | 513-821-6169
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Provider Business Mailing Address
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Address Line | 6721 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45224-1040
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Country | US
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Telephone | 513-821-6168
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Fax | 513-821-6169
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | SHAWN SHELTON
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Credential |
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Telephone | 513-821-6168
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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 | 1058149
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License Number State | OH
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