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General NPI Number Information
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NPI Number | 1023401478
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Entity Type | Organization
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Legal Business Name | OPEN ARMS OF KY
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 04/06/2015
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Provider Practice Location Address
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Address Line | 8920 FOX CHASE PL
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City | LOUISVILLE
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State | KY
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Zip | 40228-2471
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Country | US
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Telephone | 502-718-1303
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Fax |
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Provider Business Mailing Address
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Address Line | 8920 FOX CHASE PL
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City | LOUISVILLE
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State | KY
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Zip | 40228-2471
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Country | US
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Telephone | 502-718-1303
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / EXECUTIVE DIRECTOR
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Name | WILLIAM CUNDIFF
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Credential |
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Telephone | 502-718-1303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | NONE
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License Number State | KY
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