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General NPI Number Information
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NPI Number | 1649683947
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Entity Type | Organization
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Legal Business Name | ALPHA & OMEGA HOME HELP, LLC
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 107 PAWNEE PL
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City | CLINTON
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State | MS
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Zip | 39056-3140
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Country | US
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Telephone | 601-605-9055
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1100
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City | JACKSON
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State | MS
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Zip | 39215-1100
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Country | US
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Telephone | 601-605-9055
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. KIMBERLY SANDIFER
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Credential |
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Telephone | 601-605-9055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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