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General NPI Number Information
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NPI Number | 1710692488
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Entity Type | Organization
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Legal Business Name | IN HOME HEALTH, LLC
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 3410 OAKWOOD MALL DR STE 400
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City | EAU CLAIRE
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State | WI
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Zip | 54701-2608
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Country | US
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Telephone | 715-214-2485
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Fax |
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Provider Business Mailing Address
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Address Line | 333 N SUMMIT ST
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City | TOLEDO
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State | OH
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Zip | 43604-1531
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Country | US
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Telephone | 567-585-1191
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARTIN D ALLEN
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Credential |
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Telephone | 419-252-5734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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