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General NPI Number Information
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NPI Number | 1093742918
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Entity Type | Organization
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Legal Business Name | GENTIVA CERTIFIED HEALTHCARE CORP.
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 5314 S YALE AVE SUITE 500
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City | TULSA
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State | OK
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Zip | 74135-6256
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Country | US
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Telephone | 918-488-6153
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Fax | 918-488-8048
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Provider Business Mailing Address
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Address Line | 12900 FOSTER ST STE 400
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2696
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | RUTH SCHWARTZ
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Credential |
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Telephone | 913-814-2288
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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 |
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License Number State |
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