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General NPI Number Information
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NPI Number | 1821251695
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Entity Type | Organization
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Legal Business Name | INTEGRITY HOME HEALTH LLC
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 1000 S MEDICAL DRIVE
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City | BRIGHAM CITY
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State | UT
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Zip | 84302
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Country | US
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Telephone | 435-723-9000
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Fax | 435-734-9819
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Provider Business Mailing Address
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Address Line | 1000 S MEDICAL DRIVE
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City | BRIGHAM CITY
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State | UT
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Zip | 84302
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Country | US
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Telephone | 435-723-9000
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Fax | 435-734-9819
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. NICHOLAS ADAM LARSEN
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Credential |
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Telephone | 435-757-8368
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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 | UT
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