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NPI 1760479489

NPI 1760479489 : PANHANDLE HOME HEALTH & HOSPICE, INC. : LIBERAL, KS

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General NPI Number Information
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    NPI Number           |    1760479489
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    Entity Type          |    Organization 
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    Legal Business Name  |    PANHANDLE HOME HEALTH & HOSPICE, INC. 
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Dates
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    Enumeration Date     |    09/29/2005
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    Last Update Date     |    11/16/2010
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Provider Practice Location Address
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    Address Line         |    502 N KANSAS AVE 
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    City                 |    LIBERAL
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    State                |    KS
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    Zip                  |    67901-3304
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    Country              |    US
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    Telephone            |    620-626-4798
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 547 
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    City                 |    GUYMON
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    State                |    OK
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    Zip                  |    73942-0547
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    Country              |    US
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    Telephone            |    580-338-2274
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     CHERYL LYNN RICE 
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    Credential           |    
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    Telephone            |    580-338-2274
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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       |    A088006
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    License Number State |    KS
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