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General NPI Number Information
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NPI Number | 1285291575
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Entity Type | Organization
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Legal Business Name | TERRACE HOME HEALTH SPRINGFIELD, LLC
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 4650 S NATIONAL AVE STE D2
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City | SPRINGFIELD
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State | MO
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Zip | 65810-2896
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Country | US
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Telephone | 417-766-3536
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Fax |
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Provider Business Mailing Address
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Address Line | 598 W 900 S STE 220
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City | WOODS CROSS
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State | UT
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Zip | 84010-8195
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Country | US
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Telephone | 801-397-4697
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Fax | 801-296-9117
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Authorized Official
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Title or Position | GOVERNING BODY CHAIR
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Name | KELLY SNOWBALL
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Credential |
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Telephone | 801-397-4000
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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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