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General NPI Number Information
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NPI Number | 1982928339
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Entity Type | Organization
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Legal Business Name | PHILEMON HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 81 MILL STREET SUITE 300 OFFICE NUMBER 118
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City | GAHANNA
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State | OH
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Zip | 43230-1718
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Country | US
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Telephone | 614-414-7911
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Fax | 614-414-0775
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Provider Business Mailing Address
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Address Line | 81 MILL STREET SUITE 300 OFFICE NUMBER 118
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City | GAHANNA
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State | OH
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Zip | 43230-1718
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Country | US
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Telephone | 614-414-7911
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Fax | 614-414-0775
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Authorized Official
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Title or Position | CEO
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Name | MAHLET BERHANU WOLDESEMAYAT
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Credential |
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Telephone | 614-414-7911
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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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