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NPI 1376922237

NPI 1376922237 : ACCURATE HEALTH CARE LLC : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1376922237
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCURATE HEALTH CARE LLC 
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Dates
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    Enumeration Date     |    05/26/2015
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    Last Update Date     |    05/26/2015
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Provider Practice Location Address
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    Address Line         |    101 W OHIO ST 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46204-1906
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    Country              |    US
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    Telephone            |    508-685-1194
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    261 OLIVER ST 
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    City                 |    FALL RIVER
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    State                |    MA
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    Zip                  |    02724-2917
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    Country              |    US
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    Telephone            |    508-685-1194
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DEREK  ETZKORN 
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    Credential           |    
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    Telephone            |    508-685-1194
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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       |    
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    License Number State |    
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