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General NPI Number Information
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NPI Number | 1982860110
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Entity Type | Organization
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Legal Business Name | SIMONE HEALTH MANAGEMENT LLC
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 1313 E BROAD ST STE 203
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City | COLUMBUS
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State | OH
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Zip | 43205-3510
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Country | US
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Telephone | 614-252-5493
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Fax | 614-252-5708
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Provider Business Mailing Address
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Address Line | 1313 E BROAD ST STE 203
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City | COLUMBUS
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State | OH
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Zip | 43205-3510
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Country | US
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Telephone | 614-252-5493
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Fax | 614-252-5708
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Authorized Official
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Title or Position | CEO
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Name | VIENGKEO VILAY
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Credential |
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Telephone | 614-252-5493
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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 | 1764307
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License Number State | OH
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