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General NPI Number Information
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NPI Number | 1497807358
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Entity Type | Organization
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Legal Business Name | MOORE HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 09/17/2009
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Provider Practice Location Address
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Address Line | 9000 INDIANAPOLIS BLVD STE A
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City | HIGHLAND
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State | IN
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Zip | 46322-2501
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Country | US
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Telephone | 219-923-2655
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Fax | 219-923-2640
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Provider Business Mailing Address
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Address Line | 9000 INDIANAPOLIS BLVD STE A
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City | HIGHLAND
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State | IN
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Zip | 46322-2501
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Country | US
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Telephone | 219-923-2655
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Fax | 219-923-2640
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LUDEEN ANGELETY-MOORE
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Credential | RN
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Telephone | 219-392-6858
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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 | 06-009757-1
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License Number State | IN
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