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General NPI Number Information
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NPI Number | 1992262851
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Entity Type | Organization
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Legal Business Name | ARMS OF JESUS
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Dates
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Enumeration Date | 02/27/2019
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 3424 SE 146TH PL
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City | SUMMERFIELD
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State | FL
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Zip | 34491
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Country | US
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Telephone | 502-600-2367
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Fax |
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Provider Business Mailing Address
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Address Line | 3424 SE 146TH PL
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City | SUMMERFIELD
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State | FL
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Zip | 34491-3970
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Country | US
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Telephone | 502-600-2367
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARLEN D OHAIR
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Credential |
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Telephone | 502-600-2367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374T00000X
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Taxonomy Name | Religious Nonmedical Nursing Personnel
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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