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General NPI Number Information
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NPI Number | 1669479119
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Entity Type | Organization
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Legal Business Name | METHOW VALLEY HOME HEALTH AGENCY
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 1005 HWY 20 EAST
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City | TWISP
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State | WA
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Zip | 98856
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Country | US
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Telephone | 509-997-4013
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Fax | 509-997-4005
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | TWISP
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State | WA
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Zip | 98856-0066
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Country | US
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Telephone | 509-997-4013
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Fax | 509-997-4005
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | MS. CYNTHIA BUTTON
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Credential | PARAMEDIC
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Telephone | 509-997-4013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 24X01
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License Number State | WA
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