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General NPI Number Information
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NPI Number | 1366082521
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Entity Type | Organization
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Legal Business Name | ATERA HOME CARE
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 3803 SW SANDSTONE AVE
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City | BENTONVILLE
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State | AR
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Zip | 72712-8646
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Country | US
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Telephone | 479-350-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 3803 SW SANDSTONE AVE
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City | BENTONVILLE
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State | AR
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Zip | 72712-8646
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Country | US
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Telephone | 479-350-0550
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Fax |
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Authorized Official
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Title or Position | OWNER/MARKETING MANAGER
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Name | MS. LEAH KNIGHT
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Credential |
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Telephone | 479-350-0550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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