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General NPI Number Information
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NPI Number | 1811021132
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Entity Type | Organization
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Legal Business Name | FAITH IN HOME SERVICES, LLC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 2622 W CENTRAL AVE SUITE 401A
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City | WICHITA
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State | KS
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Zip | 67203-4969
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Country | US
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Telephone | 316-618-6800
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Fax | 316-618-6804
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Provider Business Mailing Address
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Address Line | 1703 W 5TH ST SUITE 800
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City | AUSTIN
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State | TX
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Zip | 78703-4893
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Country | US
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Telephone | 512-634-4900
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Fax | 512-634-4966
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Authorized Official
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Title or Position | SR VP AND GENERAL COUNSEL
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Name | BENJAMIN M HANSON
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Credential |
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Telephone | 512-634-4900
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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 | A087102
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License Number State | KS
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