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General NPI Number Information
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NPI Number | 1528037264
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Entity Type | Organization
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Legal Business Name | INTERMOUNTAIN HOME HEALTH INC
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 5882 S 900 E SUITE 101
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City | MURRAY
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State | UT
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Zip | 84121-1683
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Country | US
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Telephone | 801-542-7150
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Fax | 801-542-7154
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Provider Business Mailing Address
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Address Line | 5882 S 900 E SUITE 101
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City | MURRAY
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State | UT
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Zip | 84121-1683
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Country | US
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Telephone | 801-542-7150
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Fax | 801-542-7154
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID MICHAEL BRITSCH
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Credential | RN
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Telephone | 801-542-7150
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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 | 2006-HHA-72612
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License Number State | UT
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