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General NPI Number Information
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NPI Number | 1508275405
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Entity Type | Organization
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Legal Business Name | CAREMED HEALTHCARE SERVICES PLLC
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 7710 E MARINE DR
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City | POST FALLS
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State | ID
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Zip | 83854-7293
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Country | US
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Telephone | 208-755-9468
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Fax |
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Provider Business Mailing Address
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Address Line | 7710 E MARINE DR
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City | POST FALLS
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State | ID
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Zip | 83854-7293
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Country | US
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Telephone | 208-755-9468
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | CASSANDRA ANN RAGAN
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Credential | RN
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Telephone | 208-755-9468
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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 | 004517236
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License Number State | ID
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