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General NPI Number Information
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NPI Number | 1962633560
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Entity Type | Organization
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Legal Business Name | EDINBURGH ENTERPRISES, LLC
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 7086 CORPORATE WAY STE. # 102
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City | DAYTON
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State | OH
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Zip | 45459-4294
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Country | US
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Telephone | 937-432-6475
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Fax | 937-432-6916
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Provider Business Mailing Address
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Address Line | 7086 CORPORATE WAY STE. # 102
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City | DAYTON
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State | OH
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Zip | 45459-4294
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Country | US
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Telephone | 937-432-6475
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Fax | 937-432-6916
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Authorized Official
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Title or Position | PRESIDENT & OWNER
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Name | MR. JOHN THOMAS IKIRT
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Credential | MBA
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Telephone | 937-432-6475
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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 | OH
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