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General NPI Number Information
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NPI Number | 1366929101
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Entity Type | Organization
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Legal Business Name | TERRIE WE CARE SERVICES LLC
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 1921 E 12TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64127-1139
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Country | US
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Telephone | 913-475-3091
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Fax |
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Provider Business Mailing Address
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Address Line | 504 W 101ST TER
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City | KANSAS CITY
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State | MO
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Zip | 64114-4235
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Country | US
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Telephone | 913-475-3091
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | MS. YOLANDA R RAY
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Credential |
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Telephone | 816-572-6085
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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 | LC001536787
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License Number State | MO
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