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General NPI Number Information
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NPI Number | 1437156023
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME CARE INCORPORATED
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 1611 W HARRY ST
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City | WICHITA
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State | KS
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Zip | 67213-3653
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Country | US
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Telephone | 316-262-4484
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Fax | 316-262-5270
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Provider Business Mailing Address
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Address Line | 1611 W HARRY ST
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City | WICHITA
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State | KS
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Zip | 67213-3653
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Country | US
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Telephone | 316-262-4484
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Fax | 316-262-5270
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Authorized Official
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Title or Position | OWNER
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Name | PAULA STROUD
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Credential |
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Telephone | 316-262-4484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | A087058
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | A087058
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License Number State | KS
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