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General NPI Number Information
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NPI Number | 1336681345
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Entity Type | Organization
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Legal Business Name | ASSIDUOUS HOME CARE, LLC
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 01/08/2017
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Provider Practice Location Address
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Address Line | 9127 FRESNO CIR UNIT A
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City | FORT SMITH
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State | AR
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Zip | 72903-5647
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Country | US
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Telephone | 501-487-5735
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Fax |
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Provider Business Mailing Address
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Address Line | 9127 FRESNO CIR UNIT A
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City | FORT SMITH
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State | AR
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Zip | 72903-5647
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Country | US
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Telephone | 501-487-5735
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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. CHANDLER WELLS MORGAN
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Credential |
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Telephone | 501-487-5735
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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 | AR5269
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License Number State | AR
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