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General NPI Number Information
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NPI Number | 1033748793
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Entity Type | Individual
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Provider Name | RICHARD JOHANNAS KUEHN HOME CARE ORG
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Gender | Male
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Dates
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Enumeration Date | 04/05/2020
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Last Update Date | 04/05/2020
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Provider Practice Location Address
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Address Line | 100 CLOCK TOWER PL STE 215
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City | CARMEL
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State | CA
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Zip | 93923-8775
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Country | US
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Telephone | 831-275-0103
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Fax | 831-309-3252
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Provider Business Mailing Address
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Address Line | PO BOX 221457
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City | CARMEL
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State | CA
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Zip | 93922-1457
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Country | US
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Telephone | 831-275-0103
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Fax | 831-309-3252
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 274700003
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License Number State | CA
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