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General NPI Number Information
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NPI Number | 1295444669
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Entity Type | Organization
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Legal Business Name | DART HOME HEALTH LLC
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 5827 PROSPECT AVE
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City | KANSAS CITY
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State | MO
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Zip | 64130-3625
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Country | US
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Telephone | 816-800-5050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11533
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City | KANSAS CITY
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State | MO
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Zip | 64138-0033
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Country | US
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Telephone | 816-887-6333
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CANDACE GORDON
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Credential |
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Telephone | 816-887-6333
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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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