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General NPI Number Information
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NPI Number | 1932250099
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Entity Type | Organization
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Legal Business Name | TLC HOME HEALTH OF OHIO, INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 203 N SELTZER ST
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City | CRESTLINE
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State | OH
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Zip | 44827-1402
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Country | US
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Telephone | 419-683-3984
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Fax | 419-683-3350
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Provider Business Mailing Address
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Address Line | 203 N SELTZER ST
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City | CRESTLINE
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State | OH
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Zip | 44827-1402
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Country | US
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Telephone | 419-683-3984
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Fax | 419-683-3350
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DIANNA M STUMPF
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Credential | R.N.
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Telephone | 419-683-3984
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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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