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General NPI Number Information
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NPI Number | 1164621942
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Entity Type | Organization
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Legal Business Name | LOCAL HOME CARE, INC.
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 208 N WHEELER AVE
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City | SALLISAW
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State | OK
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Zip | 74955-4648
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Country | US
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Telephone | 918-790-2535
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Fax | 918-790-2538
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | SALLISAW
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State | OK
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Zip | 74955-0009
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Country | US
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Telephone | 918-790-2535
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Fax | 918-790-2538
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARY RENEE ROGERS
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Credential | R.N.
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Telephone | 918-790-2535
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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 | OK
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