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General NPI Number Information
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NPI Number | 1295037828
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Entity Type | Organization
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Legal Business Name | ALDERSGATE VILLAGE HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 7220 SW ASBURY DR
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City | TOPEKA
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State | KS
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Zip | 66614-4706
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Country | US
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Telephone | 785-286-7474
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Fax | 785-478-1726
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Provider Business Mailing Address
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Address Line | 7220 SW ASBURY DR
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City | TOPEKA
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State | KS
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Zip | 66614-4706
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Country | US
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Telephone | 785-286-7474
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Fax | 785-478-1726
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Authorized Official
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Title or Position | CEO
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Name | JERRY NEY
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Credential |
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Telephone | 785-478-9440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | A-089-008
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | A-089-008
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License Number State | KS
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