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General NPI Number Information
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NPI Number | 1336146034
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Entity Type | Organization
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Legal Business Name | COUNTY OF HARPER
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 123 N JENNINGS AVE
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City | ANTHONY
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State | KS
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Zip | 67003-2708
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Country | US
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Telephone | 620-842-5132
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | ANTHONY
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State | KS
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Zip | 67003-0066
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Country | US
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Telephone | 620-842-5132
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHERRY L. HOUSTON
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Credential | LBSW
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Telephone | 620-842-5132
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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 | A039001
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License Number State | KS
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