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General NPI Number Information
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NPI Number | 1124603519
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Entity Type | Organization
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Legal Business Name | POM CONCERGE NURSING LLC
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 7700 DARNELL ST
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City | LENEXA
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State | KS
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Zip | 66216-3706
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Country | US
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Telephone | 832-858-4645
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 DARNELL ST
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City | LENEXA
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State | KS
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Zip | 66216-3706
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Country | US
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Telephone | 832-858-4645
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FAITH W GITHUI
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Credential | RN
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Telephone | 913-603-5747
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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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