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General NPI Number Information
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NPI Number | 1528225729
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME HEALTH & STAFFING INC.
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 8030 W EMERALD ST SUITE 185
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City | BOISE
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State | ID
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Zip | 83704-9060
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Country | US
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Telephone | 208-321-7896
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Fax | 208-321-8065
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Provider Business Mailing Address
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Address Line | 321 2ND STREET SO. SUITE 101
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City | NAMPA
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State | IDAHO
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Zip | 83651
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Country | UM
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Telephone | 208-468-0140
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Fax | 208-466-0580
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Authorized Official
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Title or Position | REGIONAL DIRECTOR
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Name | MS. RHONDA DAHM
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Credential |
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Telephone | 208-468-0140
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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 |
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