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General NPI Number Information
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NPI Number | 1073912713
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Entity Type | Organization
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Legal Business Name | NO PLACE LIKE HOME
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 401 1/2 GRAND AVE APT 21
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City | SPENCER
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State | IA
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Zip | 51301-4015
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Country | US
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Telephone | 712-346-7853
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Fax |
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Provider Business Mailing Address
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Address Line | 401 1/2 GRAND AVE APT 21
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City | SPENCER
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State | IA
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Zip | 51301-4015
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Country | US
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Telephone | 712-346-7853
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MYRANDA THORESON
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Credential | RN
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Telephone | 712-346-7853
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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 | 131859
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 131859
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License Number State | IA
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