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General NPI Number Information
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NPI Number | 1003229444
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Entity Type | Organization
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Legal Business Name | COMPLETE HOME HEALTH CARE
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3951 BROADWAY BLVD STE B200
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City | KANSAS CITY
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State | MO
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Zip | 64111-2516
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Country | US
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Telephone | 816-419-5490
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Fax | 816-474-1861
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Provider Business Mailing Address
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Address Line | 3951 BROADWAY BLVD STE B200
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City | KANSAS CITY
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State | MO
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Zip | 64111-2516
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Country | US
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Telephone | 816-419-5490
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MONA B ALI
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Credential |
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Telephone | 816-419-5490
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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 | MO
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