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General NPI Number Information
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NPI Number | 1073897070
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Entity Type | Organization
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Legal Business Name | RELIABLE PERSONAL CARE SERVICES, LLC
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Dates
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Enumeration Date | 10/09/2011
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 2141 N FRANKLIN RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-2435
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Country | US
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Telephone | 317-375-8530
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Fax | 317-894-9887
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Provider Business Mailing Address
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Address Line | 2141 N FRANKLIN RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-2435
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Country | US
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Telephone | 317-375-8530
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Fax | 317-894-9887
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Authorized Official
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Title or Position | CEO
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Name | MRS. ERRON CLAYTON
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Credential | MBA
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Telephone | 317-375-8530
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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 | 13-012999-1
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 11-012074-1
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License Number State | IN
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