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General NPI Number Information
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NPI Number | 1326037326
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Entity Type | Organization
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Legal Business Name | K.E.M. SPECIALTY NURSING, INC.
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 35 WHITE ALLEN AVE
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City | DAYTON
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State | OH
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Zip | 45405-4930
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Country | US
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Telephone | 937-226-9703
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Fax | 937-226-9869
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Provider Business Mailing Address
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Address Line | 35 WHITE ALLEN AVE
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City | DAYTON
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State | OH
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Zip | 45405-4930
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Country | US
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Telephone | 937-226-9703
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Fax | 937-226-9869
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Authorized Official
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Title or Position | TREASURER
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Name | KITTY M MAKLEY
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Credential | RN, BSN
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Telephone | 937-226-9703
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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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