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General NPI Number Information
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NPI Number | 1255917845
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Entity Type | Organization
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Legal Business Name | IN-HOME CARE SERVICES
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 13503 BLACKFISH PKWY
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City | SHAWNEE
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State | KS
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Zip | 66216-5533
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Country | US
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Telephone | 913-265-2729
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Fax | 913-426-9122
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Provider Business Mailing Address
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Address Line | 13503 BLACKFISH PKWY
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City | SHAWNEE
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State | KS
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Zip | 66216-5533
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Country | US
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Telephone | 913-265-2729
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Fax | 913-426-9122
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Authorized Official
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Title or Position | CARE MANAGER
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Name | PHILLIMINA NJAU TUBEI
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Credential |
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Telephone | 913-265-2729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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