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General NPI Number Information
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NPI Number | 1194325670
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Entity Type | Organization
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Legal Business Name | EVERYDAY COMMUNITY RESOURCES
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 13413 W 75TH CT
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City | SHAWNEE
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State | KS
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Zip | 66216-3078
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Country | US
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Telephone | 913-548-6104
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Fax |
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Provider Business Mailing Address
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Address Line | 13413 W 75TH CT
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City | SHAWNEE
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State | KS
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Zip | 66216-3078
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Country | US
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Telephone | 913-548-6104
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BOBBIE GUAMA
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Credential | DO
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Telephone | 913-709-6145
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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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