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General NPI Number Information
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NPI Number | 1548265176
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Entity Type | Organization
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Legal Business Name | JOHNSON COUNTY COMMUNITY HEALTH SERVICES
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 723 PCA RD
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City | WARRENSBURG
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State | MO
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Zip | 64093-7913
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Country | US
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Telephone | 660-747-6121
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Fax | 660-747-6087
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Provider Business Mailing Address
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Address Line | 723 PCA RD
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City | WARRENSBURG
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State | MO
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Zip | 64093-7913
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Country | US
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Telephone | 660-747-6121
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Fax | 660-747-6087
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DEBORAH K HALLER
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Credential | RN, BSN
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Telephone | 660-747-6121
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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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