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General NPI Number Information
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NPI Number | 1457541674
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Entity Type | Organization
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Legal Business Name | ASSURED HEALTHCARE
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 950 KENT ST STE B
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City | LIBERTY
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State | MO
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Zip | 64068-2202
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Country | US
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Telephone | 816-415-8200
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Fax | 816-415-8268
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Provider Business Mailing Address
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Address Line | 950 KENT ST STE B
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City | LIBERTY
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State | MO
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Zip | 64068-2202
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Country | US
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Telephone | 816-415-8200
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Fax | 816-415-8268
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. GINA M. HELMANDOLLAR
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Credential |
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Telephone | 816-415-8200
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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 | 0009083
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License Number State | MO
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