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General NPI Number Information
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NPI Number | 1578196564
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Entity Type | Organization
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Legal Business Name | REGAL HOME HEALTH LLC
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 1984 W 14TH ST
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City | SAULT SAINTE MARIE
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State | MI
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Zip | 49783-9037
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Country | US
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Telephone | 620-875-8206
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Fax | 620-904-0609
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Provider Business Mailing Address
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Address Line | 606 N BROADWAY ST STE A
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City | PITTSBURG
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State | KS
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Zip | 66762-3950
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Country | US
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Telephone | 620-308-0277
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA MCCOY
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Credential |
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Telephone | 620-875-8206
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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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