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General NPI Number Information
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NPI Number | 1063871333
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Entity Type | Organization
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Legal Business Name | CAREFORCEHQ LLC
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 33 E IDAHO AVE
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City | MERIDIAN
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State | ID
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Zip | 83642-2631
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Country | US
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Telephone | 208-917-7919
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Fax | 208-917-7918
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Provider Business Mailing Address
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Address Line | 33 E IDAHO AVE
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City | MERIDIAN
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State | ID
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Zip | 83642-2631
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Country | US
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Telephone | 208-917-7919
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Fax | 208-917-7918
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS M BANDY
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Credential |
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Telephone | 208-917-7919
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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 | NOT REQUIRED
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License Number State | ID
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