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General NPI Number Information
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NPI Number | 1235109794
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Entity Type | Organization
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Legal Business Name | FAMILY HOME HEALTH CARE INC
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 109 MYRTLE ST
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City | GLASGOW
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State | KY
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Zip | 42141-1632
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Country | US
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Telephone | 270-651-1244
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Fax | 270-659-0887
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Provider Business Mailing Address
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Address Line | 109 MYRTLE ST
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City | GLASGOW
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State | KY
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Zip | 42141-1632
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Country | US
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Telephone | 270-651-1244
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Fax | 270-659-0887
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Authorized Official
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Title or Position | VP OF ADMINISTRATIVE SERVICES
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Name | MR. RONALD EVANS
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Credential |
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Telephone | 859-219-3939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 750150
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License Number State | KY
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