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General NPI Number Information
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NPI Number | 1720402449
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Entity Type | Organization
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Legal Business Name | GUTHRIE HOME CARE
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Dates
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Enumeration Date | 02/17/2014
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 4005 WEST RD
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City | CORTLAND
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State | NY
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Zip | 13045-1843
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Country | US
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Telephone | 607-756-3646
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Fax | 607-687-8179
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Provider Business Mailing Address
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Address Line | 4005 WEST RD
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City | CORTLAND
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State | NY
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Zip | 13045-1843
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Country | US
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Telephone | 607-756-3646
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Fax | 607-687-8179
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Authorized Official
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Title or Position | VP, POST ACUTE CARE & HOME SERVICES
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Name | DR. ELIZABETH JEAN KLEBER
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Credential | PHD, RN
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Telephone | 570-887-4356
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 12166-E
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License Number State | NY
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