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General NPI Number Information
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NPI Number | 1528556305
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Entity Type | Organization
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Legal Business Name | HAIROUN HOME HEALTH
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 1200 EAST 20TH STREET
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City | FARMINGTON
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State | NM
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Zip | 87401
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Country | US
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Telephone | 505-516-0448
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Fax | 505-792-6602
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Provider Business Mailing Address
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Address Line | 1206 EAST 20TH STREET
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City | FARMINGTON
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State | NM
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Zip | 87401
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Country | US
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Telephone | 505-516-0448
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Fax | 505-792-6602
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Authorized Official
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Title or Position | BUSINESS DEVELOPMENT
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Name | MRS. SANDRA KING
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Credential |
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Telephone | 505-516-0448
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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 | 3439
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License Number State | NM
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