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General NPI Number Information
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NPI Number | 1518954528
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Entity Type | Organization
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Legal Business Name | AUGUST HOME HEALTH INC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2005 IRONWOOD PKWY
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2647
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Country | US
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Telephone | 208-664-0858
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Fax | 208-667-8613
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Provider Business Mailing Address
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Address Line | 2005 IRONWOOD PKWY
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2465
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Country | US
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Telephone | 208-664-0858
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Fax | 208-667-8613
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LYNN E LAVAGNINO
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Credential | RN
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Telephone | 208-664-0858
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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 | ID
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