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General NPI Number Information
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NPI Number | 1760032171
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Entity Type | Organization
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Legal Business Name | CARING HEARTS HOME HEALTH, LLC
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 2220 W HOUSTON ST STE E
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City | BROKEN ARROW
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State | OK
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Zip | 74012-3504
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Country | US
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Telephone | 918-402-3072
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Fax |
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Provider Business Mailing Address
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Address Line | 5721 E 146TH ST S
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City | BIXBY
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State | OK
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Zip | 74008-8075
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SOLOMON MUTEBI
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Credential | REGISTERED NURSE
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Telephone | 918-402-3072
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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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