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General NPI Number Information
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NPI Number | 1932705779
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Entity Type | Individual
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Provider Name | ELLA MARIE LASCELLES
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Gender | Female
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 800 SR 325 S
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City | THURMAN
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State | OH
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Zip | 45685-9731
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Country | US
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Telephone | 740-301-5021
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Fax |
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Provider Business Mailing Address
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Address Line | 945 GAGE RD
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City | PATRIOT
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State | OH
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Zip | 45658-9300
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Country | US
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Telephone | 740-645-3021
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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