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General NPI Number Information
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NPI Number | 1992095632
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Entity Type | Organization
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Legal Business Name | LOYALTAY CARE PROVIDER LLC
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 4594 NORTHTOWNE BLVD G14
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City | COLUMBUS
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State | OH
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Zip | 43229
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Country | US
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Telephone | 614-843-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 4594 NORTHTOWNE BLVD G14
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City | COLUMBUS
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State | OH
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Zip | 43229
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Country | US
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Telephone | 614-843-0881
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OUSMANE CAMARA
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Credential |
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Telephone | 614-843-0881
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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 | 3063124
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License Number State | OH
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