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General NPI Number Information
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NPI Number | 1063410371
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME HEALTH CARE, LTD
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1525 MOUNT PLEASANT ST
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City | BURLINGTON
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State | IA
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Zip | 52601-2658
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Country | US
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Telephone | 319-753-6270
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Fax | 319-753-6237
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Provider Business Mailing Address
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Address Line | 1525 MOUNT PLEASANT ST
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City | BURLINGTON
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State | IA
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Zip | 52601-2658
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Country | US
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Telephone | 319-753-6270
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Fax | 319-753-6237
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BARBARA A. NELSON
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Credential | RN, CHCE
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Telephone | 319-753-6270
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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 |
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