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General NPI Number Information
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NPI Number | 1629253232
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Entity Type | Organization
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Legal Business Name | AT HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 8608 KENNEDY AVE
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City | HIGHLAND
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State | IN
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Zip | 46322-1621
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Country | US
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Telephone | 219-308-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 8608 KENNEDY AVE
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City | HIGHLAND
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State | IN
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Zip | 46322-1621
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | REYNALDO PINLAC
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Credential |
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Telephone | 219-308-9090
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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 | IN
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