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General NPI Number Information
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NPI Number | 1144641895
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Entity Type | Organization
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Legal Business Name | MIDWEST HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 12/25/2013
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Last Update Date | 12/25/2013
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Provider Practice Location Address
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Address Line | 1624 S RUTAN ST
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City | WICHITA
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State | KS
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Zip | 67218-3918
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Country | US
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Telephone | 316-361-6240
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Fax |
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Provider Business Mailing Address
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Address Line | 3540 N INWOOD ST APARTMENT 9301
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City | WICHITA
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State | KS
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Zip | 67226-7801
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Country | US
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Telephone | 316-655-7441
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. TRENTON JEREL HUGHES
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Credential |
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Telephone | 316-655-7441
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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 | A087174
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License Number State | KS
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