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General NPI Number Information
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NPI Number | 1073716254
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Entity Type | Organization
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Legal Business Name | KANAWHA HOME HEALTH CARE INC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 20 BROOKS ST
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City | CHARLESTON
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State | WV
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Zip | 25301-2903
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Country | US
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Telephone | 304-766-2265
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Fax | 304-766-2270
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Provider Business Mailing Address
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Address Line | 600 TECHNOLOGY DR
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-8540
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Country | US
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Telephone | 304-766-2265
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Fax | 304-720-2507
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Authorized Official
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Title or Position | OWNER
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Name | MRS. GINA TOPPIN
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Credential |
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Telephone | 304-766-2265
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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 | 046274
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License Number State | WV
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