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General NPI Number Information
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NPI Number | 1417375593
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Entity Type | Organization
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Legal Business Name | REGIONAL HOME VISITATION PROGRAM
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 201 S MAIN ST
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City | YUMA
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State | CO
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Zip | 80759-1915
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Country | US
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Telephone | 970-848-5274
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Fax | 970-848-0357
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Provider Business Mailing Address
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Address Line | 201 S MAIN ST
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City | YUMA
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State | CO
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Zip | 80759-1915
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Country | US
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Telephone | 970-848-5274
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Fax | 970-848-0357
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | RUTH SEEDORF
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Credential |
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Telephone | 970-848-5274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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