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General NPI Number Information
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NPI Number | 1043729015
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Entity Type | Organization
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Legal Business Name | WILLOWCARE HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4600 COLUMBUS BLVD
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City | KOKOMO
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State | IN
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Zip | 46901-6409
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Country | US
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Telephone | 765-450-7237
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Fax | 765-450-7237
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Provider Business Mailing Address
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Address Line | 4600 COLUMBUS BLVD
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City | KOKOMO
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State | IN
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Zip | 46901-6409
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Country | US
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Telephone | 765-450-7237
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Fax | 765-450-7237
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ROBIN RA'SHELLE NEWKIRK
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Credential | DO
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Telephone | 765-450-7327
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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 | IN
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