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General NPI Number Information
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NPI Number | 1407874449
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Entity Type | Organization
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Legal Business Name | VIA CHRISTI HOME HEALTH PITTSBURG, LLC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 200 E CENTENNIAL DR STE 13
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City | PITTSBURG
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State | KS
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Zip | 66762-6507
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Country | US
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Telephone | 620-231-3088
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Fax | 620-231-3130
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Provider Business Mailing Address
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Address Line | 3 MED CENTER CIR STE B
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City | PITTSBURG
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State | KS
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Zip | 66762-6677
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Country | US
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Telephone | 620-231-3088
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Fax | 620-231-3130
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Authorized Official
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Title or Position | SVP, CHIEF LEGAL OFFICER
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Name | RUSSELL ADKINS
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Credential |
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Telephone | 615-309-5668
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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 | A-019-002
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License Number State | KS
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