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General NPI Number Information
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NPI Number | 1386168649
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Entity Type | Organization
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Legal Business Name | SEDUM HOME HEALTH, INC
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 1220 E 63RD ST STE 300
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City | KANSAS CITY
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State | MO
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Zip | 64110-3424
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Country | US
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Telephone | 816-743-4553
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Fax | 816-897-0426
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Provider Business Mailing Address
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Address Line | 1220 E 63RD ST STE 300
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City | KANSAS CITY
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State | MO
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Zip | 64110-3424
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Country | US
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Telephone | 816-743-4553
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Fax | 816-897-0426
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. STELLA OBIAGELI OBI
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Credential | RN
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Telephone | 816-724-6664
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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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