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General NPI Number Information
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NPI Number | 1154325918
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Entity Type | Organization
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Legal Business Name | COMPLETE HOME CARE, INC
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 335 PIERCE ST
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City | KINGSTON
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State | PA
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Zip | 18704-5147
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Country | US
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Telephone | 570-287-4711
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Fax | 570-287-4438
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Provider Business Mailing Address
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Address Line | 335 PIERCE ST
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City | KINGSTON
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State | PA
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Zip | 18704-5147
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Country | US
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Telephone | 570-287-4711
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Fax | 570-287-4438
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Authorized Official
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Title or Position | CEO/ADM
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Name | MS. KATHRYN KUFTA
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Credential | RN, BSN
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Telephone | 570-287-4711
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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 | 740705
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License Number State | PA
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