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General NPI Number Information
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NPI Number | 1821692419
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Entity Type | Organization
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Legal Business Name | ACROSS THE STATES CONSTRUCTION & REMODELING LLC.
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 8575 GANTRY CT
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City | POWELL
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State | OH
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Zip | 43065-9226
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Country | US
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Telephone | 614-424-1496
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Fax |
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Provider Business Mailing Address
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Address Line | 8575 GANTRY CT
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City | POWELL
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State | OH
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Zip | 43065-9226
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Country | US
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Telephone | 614-424-1496
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WALID MOHAMMED ALI
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Credential |
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Telephone | 614-424-1499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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