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General NPI Number Information
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NPI Number | 1376260653
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Entity Type | Organization
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Legal Business Name | GAINES SENIOR SERVICES DBA HOME INSTEAD
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 302 E LINDEN AVE STE 103
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6177
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Country | US
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Telephone | 208-415-0366
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Fax | 208-625-2000
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Provider Business Mailing Address
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Address Line | 302 E LINDEN AVE STE 103
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6177
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Country | US
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Telephone | 208-415-0366
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Fax | 208-625-2000
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | GLYNDA KISH
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Credential |
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Telephone | 208-415-0366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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