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General NPI Number Information
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NPI Number | 1902757792
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Entity Type | Individual
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Provider Name | MS. CARLA L KING
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Gender | Female
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 4226 TOWNSHIP ROAD 187 LOT H7
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City | WEST LIBERTY
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State | OH
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Zip | 43357-9510
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Country | US
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Telephone | 937-508-6271
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Fax |
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Provider Business Mailing Address
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Address Line | 1535 PARKVIEW RD
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City | MECHANICSBURG
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State | OH
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Zip | 43044-8003
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Country | US
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Telephone | 937-508-6271
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | OH
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