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General NPI Number Information
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NPI Number | 1164077376
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Entity Type | Organization
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Legal Business Name | ARMS WIDE OPEN LLC
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 134 3RD ST S
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City | NAMPA
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State | ID
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Zip | 83651-3715
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Country | US
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Telephone | 208-353-2841
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Fax |
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Provider Business Mailing Address
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Address Line | 16605 SADIE AVE
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City | CALDWELL
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State | ID
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Zip | 83607-1417
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Country | US
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Telephone | 208-353-2841
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. OLGA TARDANI
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Credential | HOME CARE SERVICES
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Telephone | 208-466-5898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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