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General NPI Number Information
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NPI Number | 1265651418
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Entity Type | Organization
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Legal Business Name | COMPLETE HOME CARE, INC.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 1104 W RUSSELL ST
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City | SIOUX FALLS
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State | SD
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Zip | 57104-1323
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Country | US
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Telephone | 605-338-9383
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 W RUSSELL ST
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City | SIOUX FALLS
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State | SD
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Zip | 57104-1323
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Country | US
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Telephone | 605-338-9383
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. YEE-LAI CHIU
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Credential | R.PH.
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Telephone | 605-338-9383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 1001527
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License Number State | SD
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