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General NPI Number Information
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NPI Number | 1528016292
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Entity Type | Organization
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Legal Business Name | GRITMAN HOME HEALTH & HOSPICE OF THE PALOUSE
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 700 S MAIN
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City | MOSCOW
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State | ID
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Zip | 83843
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Country | US
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Telephone | 208-883-6256
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Fax | 208-883-6519
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Provider Business Mailing Address
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Address Line | 700 S MAIN
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City | MOSCOW
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State | ID
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Zip | 83843
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Country | US
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Telephone | 208-883-6256
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Fax | 208-883-6519
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JULIE A NELSON
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Credential | RN
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Telephone | 208-883-6404
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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 | HH133
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License Number State | ID
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