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General NPI Number Information
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NPI Number | 1245481423
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Entity Type | Organization
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Legal Business Name | IDEAL PARTNERS IN HOME CARE, LLC
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 1350 17TH ST
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City | BAKER CITY
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State | OR
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Zip | 97814-3502
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Country | US
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Telephone | 208-863-9724
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Fax |
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Provider Business Mailing Address
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Address Line | 2034 AUBURN AVE SUITE A
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City | BAKER CITY
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State | OR
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Zip | 97814-3826
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Country | US
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Telephone | 541-523-4680
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Fax | 541-523-4682
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | MARILYN ANN SPICER
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Credential |
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Telephone | 208-863-9724
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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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