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General NPI Number Information
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NPI Number | 1518370238
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Entity Type | Organization
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Legal Business Name | INDEPENDENT HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 1143 LINCOLN AVE SW
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City | HURON
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State | SD
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Zip | 57350
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Country | US
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Telephone | 605-352-4663
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Fax | 605-352-1373
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Provider Business Mailing Address
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Address Line | 1143 LINCOLN AVE SW
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City | HURON
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State | SD
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Zip | 57350
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Country | US
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Telephone | 605-352-4663
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Fax | 605-352-1373
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Authorized Official
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Title or Position | CEO EXECUTIVE DIRECTOR/OWNER
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Name | ASHLEY NICOLE KINGDON-REESE
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Credential | RN, BSN, APRN, MBHCA
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Telephone | 605-352-4663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 174V00000X
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Taxonomy Name | Clinical Ethicist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #12
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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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