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General NPI Number Information
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NPI Number | 1184865180
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Entity Type | Organization
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Legal Business Name | IN FOCUS ELDER CARE INC
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 703 W MAIN ST
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City | RUSSELLVILLE
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State | AR
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Zip | 72801-3616
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Country | US
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Telephone | 479-967-3005
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Fax | 479-967-3008
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Provider Business Mailing Address
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Address Line | PO BOX 460
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City | RUSSELLVILLE
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State | AR
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Zip | 72811-0460
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Country | US
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Telephone | 479-967-3005
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Fax | 479-967-3008
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Authorized Official
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Title or Position | C.E.O
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Name | BERRIE NICHOLS
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Credential | R.N
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Telephone | 479-967-3005
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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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