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General NPI Number Information
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NPI Number | 1538492236
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Entity Type | Organization
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Legal Business Name | PIONEER HOME CARE
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Dates
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Enumeration Date | 09/12/2009
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Last Update Date | 09/12/2009
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Provider Practice Location Address
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Address Line | 15981 PIONEER RD
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City | NEW UNDERWOOD
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State | SD
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Zip | 57761-7829
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Country | US
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Telephone | 605-209-7246
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 304
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City | NEW UNDERWOOD
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State | SD
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Zip | 57761-0304
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Country | US
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Telephone | 605-209-7246
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | RUTHANN CLAUDIA FIEGELMAN
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Credential | L.P.N.
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Telephone | 605-209-7246
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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 | SD
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