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General NPI Number Information
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NPI Number | 1356496368
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Entity Type | Organization
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Legal Business Name | HOME HEALTH INNOVATIONS, INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7215 WASHINGTON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4518
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Country | US
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Telephone | 505-881-4601
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Fax | 505-881-4647
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Provider Business Mailing Address
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Address Line | 7215 WASHINGTON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4518
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Country | US
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Telephone | 505-881-4601
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Fax | 505-881-4647
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JEFFREY P CAMPBELL
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Credential | R.PH.
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Telephone | 505-881-4601
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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 | 1T3243
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License Number State | NM
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