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General NPI Number Information
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NPI Number | 1316104367
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Entity Type | Organization
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Legal Business Name | ALL VALLEY HOME CARE INC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 321 2ND ST S SUITE 101
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City | NAMPA
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State | ID
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Zip | 83651-3764
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Country | US
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Telephone | 208-468-0140
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Fax | 208-466-0580
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Provider Business Mailing Address
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Address Line | 5067 N BUILDING CENTER DR
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City | COEUR D ALENE
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State | ID
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Zip | 83815-7364
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Country | US
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Telephone | 208-664-2764
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Fax | 208-765-8471
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Authorized Official
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Title or Position | REGIONAL DIRECTOR
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Name | RHONDA DAHM
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Credential |
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Telephone | 208-468-0140
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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 | 807535800
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License Number State | ID
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