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General NPI Number Information
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NPI Number | 1275846909
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Entity Type | Organization
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Legal Business Name | PEDIATRIC PLUS HOME HEALTHCARE
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 925 MAIN ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-4209
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Country | US
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Telephone | 812-284-2824
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Fax | 812-920-0163
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Provider Business Mailing Address
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Address Line | 925 MAIN ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-4209
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Country | US
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Telephone | 812-284-2824
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Fax | 833-662-2050
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | DONALD D DENNIS JR.
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Credential |
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Telephone | 812-284-2824
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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 | 10-012370-1
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License Number State | IN
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