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General NPI Number Information
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NPI Number | 1922808070
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Entity Type | Organization
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Legal Business Name | M.O.D.E. INDUSTRIES
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 4889 SINCLAIR RD STE 211
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City | COLUMBUS
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State | OH
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Zip | 43229-5434
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Country | US
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Telephone | 614-504-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 E MAIN ST # 134
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City | BEXLEY
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State | OH
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Zip | 43209-3717
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Country | US
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Telephone | 614-504-8008
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LIRYC PATTE
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Credential |
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Telephone | 614-504-8008
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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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