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General NPI Number Information
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NPI Number | 1730227638
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Entity Type | Organization
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Legal Business Name | CONTINUE CARE HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 410 MANEWAL DR
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City | CHEYENNE
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State | WY
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Zip | 82009-4016
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Country | US
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Telephone | 307-632-4448
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Fax |
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Provider Business Mailing Address
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Address Line | 410 MANEWAL DR
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City | CHEYENNE
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State | WY
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Zip | 82009-4016
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Country | US
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Telephone | 307-632-4448
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. EMILY LONGBOTTOM
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Credential |
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Telephone | 307-632-4448
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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 | 05-205
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License Number State | WY
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