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General NPI Number Information
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NPI Number | 1740720127
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Entity Type | Organization
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Legal Business Name | H I S UNLIMITED, INC.
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Dates
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Enumeration Date | 03/03/2017
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 122 W 4TH ST
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City | CARTHAGE
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State | MO
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Zip | 64836-1742
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Country | US
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Telephone | 417-310-1280
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Fax | 417-310-1280
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Provider Business Mailing Address
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Address Line | 17324 JAYHAWK RD
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City | CARTHAGE
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State | MO
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Zip | 64836-9604
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Country | US
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Telephone | 417-310-1280
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Fax | 417-310-1279
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KELLY STEPHENSON HOOK
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Credential | RN, BSN
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Telephone | 417-310-1280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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