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General NPI Number Information
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NPI Number | 1881252914
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Entity Type | Organization
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Legal Business Name | CELEBRITRIESHEALTHCARESOLUTIONSLLC.
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/08/2019
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Provider Practice Location Address
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Address Line | 2648 STANTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45206-1619
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Country | US
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Telephone | 513-375-5719
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Fax | 513-873-8885
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Provider Business Mailing Address
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Address Line | 2113 HILLROSE CT
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City | CINCINNATI
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State | OH
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Zip | 45240-1419
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Country | US
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Telephone | 513-375-5719
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Fax | 513-873-8885
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MRS. DEBRA GREER
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Credential | ADMINDTRATOR
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Telephone | 513-375-5719
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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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