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General NPI Number Information
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NPI Number | 1679200133
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Entity Type | Organization
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Legal Business Name | ABILITIES, LLC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 1638 N WASHINGTON AVE
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City | EMMETT
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State | ID
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Zip | 83617-9554
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Country | US
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Telephone | 208-365-3183
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Fax | 208-365-2307
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | EMMETT
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State | ID
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Zip | 83617-0130
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Country | US
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Telephone | 208-365-3183
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Fax | 208-365-2307
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Authorized Official
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Title or Position | OWNER
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Name | KIM SMELCER
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Credential | LSW
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Telephone | 208-365-3183
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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 |
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