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General NPI Number Information
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NPI Number | 1578386876
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Entity Type | Organization
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Legal Business Name | NOURISHING HEARTS HOME HEALTH
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 4240 BLUE RIDGE BLVD STE 611D
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City | KANSAS CITY
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State | MO
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Zip | 64133-1723
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Country | US
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Telephone | 952-261-2324
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Fax |
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Provider Business Mailing Address
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Address Line | 4240 BLUE RIDGE BLVD STE 611D
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City | KANSAS CITY
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State | MO
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Zip | 64133-1723
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Country | US
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Telephone | 952-261-2324
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Fax |
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Authorized Official
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Title or Position | RN
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Name | KHADIJA JEYLANI
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Credential | RN
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Telephone | 952-261-2324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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