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General NPI Number Information
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NPI Number | 1063705234
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Entity Type | Organization
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Legal Business Name | WRIGHT AT HOME, LLC
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Dates
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Enumeration Date | 05/22/2011
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Last Update Date | 05/22/2011
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Provider Practice Location Address
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Address Line | 455 WAUKEE AVE
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City | WAUKEE
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State | IA
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Zip | 50263-8103
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Country | US
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Telephone | 515-987-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 455 WAUKEE AVE
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City | WAUKEE
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State | IA
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Zip | 50263-8103
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Country | US
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Telephone | 515-987-3212
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TRANNA K WRIGHTSMAN
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Credential | CNA
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Telephone | 515-528-4044
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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 | D110204
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License Number State | IA
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