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General NPI Number Information
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NPI Number | 1790104339
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Entity Type | Organization
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Legal Business Name | NOVA HOME CARE CO.
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 10921 REED HARTMAN HWY STE 234
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City | BLUE ASH
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State | OH
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Zip | 45242-2850
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Country | US
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Telephone | 513-616-5639
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Fax |
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Provider Business Mailing Address
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Address Line | 9995 CLYDESDALE DR
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City | CINCINNATI
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State | OH
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Zip | 45231-2775
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Country | US
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Telephone | 513-616-5639
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. VYACHESLAV MICHAEL CHERNOV
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Credential |
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Telephone | 513-616-5639
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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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