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General NPI Number Information
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NPI Number | 1598156846
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Entity Type | Organization
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Legal Business Name | BETHLEHEM HOME HEALTH CDS, INC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 2726 FOREST AVE
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City | KANSAS CITY
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State | MO
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Zip | 64109-1224
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Country | US
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Telephone | 816-474-6371
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Fax | 816-842-1751
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Provider Business Mailing Address
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Address Line | 2726 FOREST AVE
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City | KANSAS CITY
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State | MO
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Zip | 64109-1224
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Country | US
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Telephone | 816-474-6371
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Fax | 816-842-1751
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAYMOND LOUIS MABION
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Credential |
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Telephone | 816-474-6371
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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 | 1085922432
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License Number State | MO
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