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General NPI Number Information
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NPI Number | 1902177405
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Entity Type | Organization
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Legal Business Name | TOTAL CARE SERVICES INC
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Dates
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Enumeration Date | 01/16/2012
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Last Update Date | 01/16/2012
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Provider Practice Location Address
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Address Line | 4345 CLEVELAND AVE
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City | COLUMBUS
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State | OH
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Zip | 43224-1577
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Country | US
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Telephone | 614-284-1821
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Fax |
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Provider Business Mailing Address
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Address Line | 4345 CLEVELAND AVE
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City | COLUMBUS
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State | OH
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Zip | 43224-1577
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Country | US
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Telephone | 614-284-1821
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. FARAH A BARRE
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Credential |
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Telephone | 614-284-1821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0053033
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License Number State | OH
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