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General NPI Number Information
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NPI Number | 1881960565
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Entity Type | Organization
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Legal Business Name | 21ST CENTURY HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 635 PARK MEADOW RD STE 207
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City | WESTERVILLE
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State | OH
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Zip | 43081-2877
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Country | US
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Telephone | 614-392-0701
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Fax | 614-392-0700
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Provider Business Mailing Address
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Address Line | 635 PARK MEADOW RD STE 207
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City | WESTERVILLE
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State | OH
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Zip | 43081-2877
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Country | US
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Telephone | 614-392-0701
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Fax | 614-392-0700
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MOHAMED ALI
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Credential |
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Telephone | 614-596-9326
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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 | 2092993
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License Number State | OH
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