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General NPI Number Information
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NPI Number | 1902178130
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Entity Type | Organization
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Legal Business Name | PERSONALIZED HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 4663 EXECUTIVE DR STE# 1
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City | COLUMBUS
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State | OH
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Zip | 43220
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Country | US
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Telephone | 614-745-1176
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Fax | 614-754-1288
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Provider Business Mailing Address
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Address Line | 4663 EXECUTIVE DR STE# 1
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City | COLUMBUS
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State | OH
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Zip | 43220-3627
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Country | US
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Telephone | 614-754-1176
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Fax | 614-754-1288
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. KAREN S DAVID
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Credential | R.N., B.S.C.,
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Telephone | 614-754-1176
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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 | OH
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