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General NPI Number Information
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NPI Number | 1588717458
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND HOME HEALTH CARE
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 321 2ND ST S STE 102
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City | NAMPA
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State | ID
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Zip | 83651-3767
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Country | US
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Telephone | 208-468-9504
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Fax | 208-468-9496
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Provider Business Mailing Address
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Address Line | 321 2ND ST. SO # 102
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City | NAMPA
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State | ID
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Zip | 83651
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Country | US
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Telephone | 208-468-9504
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Fax | 208-468-9496
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Authorized Official
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Title or Position | REGIONAL MANGER
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Name | RHONDA A DAHM
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Credential |
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Telephone | 208-468-9504
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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 | ID
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