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General NPI Number Information
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NPI Number | 1760818991
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTH CARE PLUS, LLC
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 1925 E DUBLIN GRANVILLE RD STE 236
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City | COLUMBUS
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State | OH
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Zip | 43229-3517
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Country | US
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Telephone | 614-396-8031
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Fax | 614-396-8576
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Provider Business Mailing Address
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Address Line | 1925 E DUBLIN GRANVILLE RD STE 236
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City | COLUMBUS
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State | OH
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Zip | 43229-3517
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Country | US
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Telephone | 614-396-8031
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Fax | 614-396-8576
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Authorized Official
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Title or Position | CEO/OWNER
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Name | SAGAL ADEN
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Credential | RN
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Telephone | 614-396-8031
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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 | 2219131
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License Number State | OH
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