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General NPI Number Information
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NPI Number | 1689985731
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Entity Type | Organization
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Legal Business Name | KANSAS HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 962 S. CLEARWATER CREEK DR
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City | OLATHE
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State | KS
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Zip | 66061-5260
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Country | US
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Telephone | 913-944-3889
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Fax | 913-839-2010
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Provider Business Mailing Address
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Address Line | 962 S. CLEARWATER CREEK DR
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City | OLATHE
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State | KS
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Zip | 66061-5260
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Country | US
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Telephone | 913-944-3889
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Fax | 913-839-2010
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Authorized Official
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Title or Position | PARTNER/RN
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Name | MICHAEL MATHEW KATUNZI
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Credential | RN, BSN
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Telephone | 19139443889
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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 | A046167
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License Number State | KS
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