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General NPI Number Information
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NPI Number | 1679945935
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Entity Type | Organization
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Legal Business Name | ZIA HOME HEALTH
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 1475 CENTRAL AVE. SUITE 125
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City | LOS ALAMOS
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State | NM
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Zip | 87544
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Country | US
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Telephone | 505-662-7361
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Fax | 505-501-7776
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Provider Business Mailing Address
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Address Line | 1475 CENTRAL AVE. SUITE 125
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City | LOS ALAMOS
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State | NM
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Zip | 87544
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Country | US
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Telephone | 505-662-7361
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Fax | 505-501-7776
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JAMES CHROBOCINSKI
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Credential | RN
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Telephone | 505-662-7361
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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 | 283499DOW
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License Number State | NM
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