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General NPI Number Information
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NPI Number | 1669984639
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Entity Type | Organization
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Legal Business Name | SALINA MCCALL ILF OPCO,LLC
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 626 S 3RD ST
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City | SALINA
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State | KS
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Zip | 67401-4105
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Country | US
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Telephone | 785-825-8183
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Fax | 785-825-1608
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Provider Business Mailing Address
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Address Line | 626 S 3RD ST
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City | SALINA
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State | KS
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Zip | 67401-4105
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Country | US
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Telephone | 785-825-8183
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Fax | 785-825-1608
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Authorized Official
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Title or Position | DIRECTOR/OPERATOR
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Name | MS. RENA ALLEN
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Credential | OPERATOR
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Telephone | 785-825-8183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | B085009
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License Number State | KS
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