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General NPI Number Information
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NPI Number | 1972272128
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Entity Type | Organization
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Legal Business Name | BENEVOLENT HOME CARE LLC
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 9196 EASTBROOK DR
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City | MIAMISBURG
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State | OH
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Zip | 45342-7868
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Country | US
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Telephone | 937-972-0990
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Fax | 937-637-5290
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Provider Business Mailing Address
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Address Line | 9196 EASTBROOK DR
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City | MIAMISBURG
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State | OH
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Zip | 45342-7868
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Country | US
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Telephone | 937-972-0990
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Fax | 937-637-5290
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH TONG AYUK
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Credential |
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Telephone | 937-972-0990
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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 |
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