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General NPI Number Information
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NPI Number | 1336384858
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Entity Type | Organization
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Legal Business Name | TRUST HOMECARE, LLC
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 250 N. ROCK ROAD SUITE 300L
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City | WICHITA
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State | KS
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Zip | 67206-2263
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Country | US
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Telephone | 316-633-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 250 N. ROCK ROAD SUITE 300L
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City | WICHITA
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State | KS
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Zip | 67206-2263
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Country | US
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Telephone | 316-633-4646
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NEDAL ALAGHA
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Credential | MBA
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Telephone | 316-633-4646
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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 | KS
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