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General NPI Number Information
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NPI Number | 1295790103
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Entity Type | Organization
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Legal Business Name | LITTLE ROCK HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 11524 N RODNEY PARHAM RD #1
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City | LITTLE ROCK
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State | AR
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Zip | 72212-4187
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Country | US
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Telephone | 501-223-3333
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Fax | 501-228-0252
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Provider Business Mailing Address
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Address Line | 2401 S PLUM GROVE RD
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City | PALATINE
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State | IL
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Zip | 60067
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Country | US
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Telephone | 847-303-5300
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Fax | 847-303-5376
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Authorized Official
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Title or Position | NATIONAL CONTRACTS
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Name | MS. DIANE KUMARICH
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Credential | RN, MS, MBA
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Telephone | 847-303-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | AR4768
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | AR4768
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | AR4090
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License Number State | AR
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