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General NPI Number Information
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NPI Number | 1952803801
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Entity Type | Organization
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Legal Business Name | OUR UNIQUE ANGELS NURSING CARE
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 6240 HAMILTON AVE STE 6C
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City | CINCINNATI
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State | OH
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Zip | 45224
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Country | US
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Telephone | 513-327-8202
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Fax |
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Provider Business Mailing Address
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Address Line | 3180 PRESERVE LN APT 3C
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City | CINCINNATI
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State | OH
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Zip | 45239-6913
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Country | US
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Telephone | 513-706-9767
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Fax | 513-706-9767
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Authorized Official
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Title or Position | OWNER/LPN
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Name | MARKIANA CORNIST
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Credential | LPN
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Telephone | 513-706-9767
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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 | 160522
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 160522
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License Number State | OH
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