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General NPI Number Information
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NPI Number | 1811314727
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Entity Type | Organization
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Legal Business Name | HEALTHCARE INNOVATION IN-HOME SERVICES V, LLC
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 1234 MERRICK DR BLDG B3B
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City | ARDMORE
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State | OK
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Zip | 73401-1824
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Country | US
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Telephone | 405-949-9984
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Fax | 405-949-0121
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Provider Business Mailing Address
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Address Line | 3010 LYNDON B JOHNSON FWY STE 1100
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City | DALLAS
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State | TX
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Zip | 75234-2712
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Country | US
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Telephone | 800-379-1600
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Fax | 903-537-8470
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT OF COMPLIANCE
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Name | KATIE MONASTIERE
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Credential |
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Telephone | 800-379-1600
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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 | 7758
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License Number State | OK
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