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General NPI Number Information
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NPI Number | 1205832987
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Entity Type | Organization
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Legal Business Name | SPECTRUM PRIVATE CARE SERVICES, LLC
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 7734 HEDGE LANE TER
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City | SHAWNEE
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State | KS
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Zip | 66227-3017
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Country | US
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Telephone | 913-299-7100
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Fax | 913-299-7102
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Provider Business Mailing Address
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Address Line | 7734 HEDGE LANE TER
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City | SHAWNEE
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State | KS
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Zip | 66227-3017
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Country | US
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Telephone | 913-299-7100
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Fax | 913-299-7102
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. EILEEN OREL
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Credential | R.N.
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Telephone | 913-299-7100
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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 | A105020
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License Number State | KS
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