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General NPI Number Information
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NPI Number | 1730511643
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Entity Type | Organization
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Legal Business Name | HOMEFRONT PERSONAL CARE INC
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 796 E PACIFIC DR SUITE B
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City | AMERICAN FORK
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State | UT
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Zip | 84003-3134
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Country | US
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Telephone | 801-763-9486
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Fax | 801-766-8448
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Provider Business Mailing Address
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Address Line | 802 BAMBERGER DRIVE SUITE C
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City | AMERICAN FORK
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State | UT
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Zip | 84003
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Country | US
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Telephone | 801-763-9486
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Fax | 801-766-8448
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Authorized Official
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Title or Position | BUSINESS OFFICE
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Name | MRS. NANCY L MAURER
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Credential |
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Telephone | 801-763-9486
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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 | 2013-HHA-UT000584
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License Number State | UT
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