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General NPI Number Information
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NPI Number | 1932387453
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Entity Type | Organization
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Legal Business Name | RONDELLA HURD
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 161 CONCORD FARM RD
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City | UNION
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State | OH
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Zip | 45322-3400
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Country | US
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Telephone | 937-832-0383
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Fax |
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Provider Business Mailing Address
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Address Line | 161 CONCORD FARM RD
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City | UNION
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State | OH
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Zip | 45322-3400
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Country | US
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Telephone | 937-832-0383
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Fax |
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Authorized Official
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Title or Position | NURSE/LPN
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Name | RONDELLA HURD
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Credential |
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Telephone | 937-832-0383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | PN108243
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License Number State | OH
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