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General NPI Number Information
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NPI Number | 1407246242
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Entity Type | Organization
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Legal Business Name | FAMILY MATTERS HOME SERVICES LLC
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 985 RAMSEY LN
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City | NEW MADRID
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State | MO
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Zip | 63869-1046
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Country | US
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Telephone | 573-748-7696
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Fax | 636-431-3431
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Provider Business Mailing Address
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Address Line | 985 RAMSEY LN
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City | NEW MADRID
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State | MO
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Zip | 63869-1046
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Country | US
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Telephone | 573-748-7696
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Fax | 636-431-3431
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. REBECCA J FIELDS
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Credential |
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Telephone | 573-748-7696
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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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