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General NPI Number Information
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NPI Number | 1598710337
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Entity Type | Organization
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Legal Business Name | REACHING OUT HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 1415 E US HIGHWAY 169
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City | GRAND RAPIDS
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State | MN
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Zip | 55744-3238
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Country | US
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Telephone | 218-327-8294
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Fax | 218-327-1422
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Provider Business Mailing Address
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Address Line | 1415 E US HIGHWAY 169
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City | GRAND RAPIDS
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State | MN
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Zip | 55744-3238
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Country | US
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Telephone | 218-327-8294
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Fax | 218-327-1422
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Authorized Official
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Title or Position | CEO
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Name | JOEL L MCDANIEL
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Credential |
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Telephone | 218-327-8294
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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 | 337940
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 335606
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License Number State | MN
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