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General NPI Number Information
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NPI Number | 1457477812
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Entity Type | Organization
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Legal Business Name | LIGHTNIG GREEK INVESTMENT GROUP, INC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 7440 220TH RD
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City | CHANUTE
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State | KS
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Zip | 66720-6409
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Country | US
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Telephone | 620-431-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 7440 220TH RD
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City | CHANUTE
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State | KS
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Zip | 66720-6409
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Country | US
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Telephone | 620-431-7115
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Fax |
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Authorized Official
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Title or Position | OFFICE MGR.
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Name | MRS. KATHRYN RAYNE MADDUX
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Credential |
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Telephone | 918-273-3649
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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 | N067008
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License Number State | KS
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