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General NPI Number Information
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NPI Number | 1588624332
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Entity Type | Organization
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Legal Business Name | ADAMS HEALTH CARE CENTER
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 810 W MAIN ST
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City | ADAMS
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State | MN
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Zip | 55909-9764
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Country | US
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Telephone | 507-582-3601
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Fax | 507-582-3589
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Provider Business Mailing Address
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Address Line | 810 W MAIN ST
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City | ADAMS
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State | MN
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Zip | 55909-9764
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Country | US
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Telephone | 507-582-3601
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Fax | 507-582-3589
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Authorized Official
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Title or Position | BILLING AGENT
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Name | MRS. KRISTA LYNN KIEFER
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Credential |
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Telephone | 507-582-3601
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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 | 346639
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License Number State | MN
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