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General NPI Number Information
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NPI Number | 1942616214
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Entity Type | Organization
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Legal Business Name | SELF EMPLOYED
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 7634 KELVINWAY DR
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City | WORTHINGTON
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State | OH
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Zip | 43085-5304
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Country | US
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Telephone | 614-592-8192
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Fax |
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Provider Business Mailing Address
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Address Line | 7634 KELVINWAY DR
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City | WORTHINGTON
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State | OH
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Zip | 43085-5304
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Country | US
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Telephone | 614-592-8192
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Fax |
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Authorized Official
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Title or Position | HOME HEALTH AID
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Name | MS. MERCY W KIBE
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Credential | HHA, CNA, CMA
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Telephone | 614-592-8192
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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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