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General NPI Number Information
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NPI Number | 1730694464
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Entity Type | Organization
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Legal Business Name | ALL FOR U HOME CARE
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Dates
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Enumeration Date | 12/04/2017
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Last Update Date | 12/04/2017
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Provider Practice Location Address
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Address Line | 205 11TH AVE N
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City | NAMPA
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State | ID
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Zip | 83687-3949
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Country | US
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Telephone | 208-880-6917
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Fax |
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Provider Business Mailing Address
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Address Line | 2511 SAN MARCO WAY
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City | NAMPA
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State | ID
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Zip | 83686-7920
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Country | US
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Telephone | 208-880-6917
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NICOLE SMITH
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Credential |
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Telephone | 208-880-6917
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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 | 173260002
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License Number State | ID
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