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General NPI Number Information
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NPI Number | 1649310863
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Entity Type | Organization
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Legal Business Name | ADVANTAGED HOME CARE INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1940 SW GAGE BLVD #C
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City | TOPEKA
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State | KS
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Zip | 66604-3338
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Country | US
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Telephone | 785-267-4433
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Fax | 785-273-1744
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Provider Business Mailing Address
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Address Line | 1940 SW GAGE BLVD #C
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City | TOPEKA
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State | KS
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Zip | 66604-3338
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Country | US
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Telephone | 785-267-4433
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Fax | 785-273-1744
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. RENEA K BULMER
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Credential |
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Telephone | 785-267-4433
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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 | A089028
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License Number State | KS
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