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General NPI Number Information
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NPI Number | 1497317820
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Entity Type | Organization
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Legal Business Name | 1 TO 1 HOME CARE SERVICES
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Dates
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Enumeration Date | 07/06/2019
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Last Update Date | 07/06/2019
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Provider Practice Location Address
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Address Line | 1200 WESTPARK DR STE 202
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City | LITTLE ROCK
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State | AR
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Zip | 72204-2487
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Country | US
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Telephone | 501-346-7917
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Fax |
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Provider Business Mailing Address
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Address Line | 3604 ELAM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72204-6822
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Country | US
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Telephone | 501-346-7917
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. QUENTIN M ANDERSON
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Credential |
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Telephone | 501-346-7917
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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 |
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License Number State |
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