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General NPI Number Information
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NPI Number | 1790023091
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Entity Type | Organization
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Legal Business Name | PRAIRIEVIEW HOME HEALTH, L.L.C.
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 1135 COLLEGE DR STE. I-1
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City | GARDEN CITY
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State | KS
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Zip | 67846-4779
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Country | US
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Telephone | 620-272-6402
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Fax | 620-277-3284
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Provider Business Mailing Address
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Address Line | 1135 COLLEGE DR STE. I-1
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City | GARDEN CITY
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State | KS
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Zip | 67846-4779
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Country | US
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Telephone | 620-272-6402
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Fax | 620-277-3284
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NICOLE NAVARRO
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Credential | P.T
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Telephone | 620-275-6402
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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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