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General NPI Number Information
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NPI Number | 1245334572
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Entity Type | Organization
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Legal Business Name | ASSOCIATED HOMECARE INC
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2255 STURDY ROAD
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City | VALPARAISO
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State | IN
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Zip | 46383
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Country | US
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Telephone | 219-465-6176
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Fax | 219-462-4137
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Provider Business Mailing Address
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Address Line | 2255 STURDY ROAD
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City | VALPARAISO
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State | IN
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Zip | 46383
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Country | US
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Telephone | 219-465-6176
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Fax | 219-462-4137
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Authorized Official
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Title or Position | ADMINISTRATOR PRESIDENT
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Name | MRS. GEORGINE M OWENS
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Credential | BSN
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Telephone | 219-465-6176
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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 | 04006155
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License Number State | IN
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