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NPI 1467842922

NPI 1467842922 : REGIONAL HEALTH PHYSICIANS INC : WALL, SD

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General NPI Number Information
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    NPI Number           |    1467842922
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    Entity Type          |    Organization 
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    Legal Business Name  |    REGIONAL HEALTH PHYSICIANS INC 
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Dates
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    Enumeration Date     |    02/04/2015
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    Last Update Date     |    02/04/2015
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Provider Practice Location Address
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    Address Line         |    112 7TH AVENUE 
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    City                 |    WALL
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    State                |    SD
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    Zip                  |    57790-0000
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    Country              |    US
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    Telephone            |    605-279-2149
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    Fax                  |    605-279-2139
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Provider Business Mailing Address
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    Address Line         |    PO BOX 9263 
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    City                 |    BELFAST
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    State                |    ME
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    Zip                  |    04915-9263
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    Country              |    US
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    Telephone            |    605-279-2149
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    Fax                  |    605-279-2139
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER RHP
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    Name                 |     JOHN Y PIERCE 
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    Credential           |    
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    Telephone            |    605-755-9042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Legacy Identifiers
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Identifier #1
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    Identifier Code      |    253Z00000X
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    Identifier Type      |    OTHER
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    Identifier State     |    SD
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    Identifier Issuer    |    TAXONOMY CODE
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Proprietary Identifiers Ever Reported
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Identifier #1
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    Identifier Code      |    253Z00000X
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    Identifier Type      |    OTHER
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    Identifier State     |    SD
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    Identifier Issuer    |    TAXONOMY CODE
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