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General NPI Number Information
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NPI Number | 1821399262
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Entity Type | Organization
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Legal Business Name | DOCTOR'S HOME HEALTH
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 5 RIVER OAKS TRCE
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City | SEARCY
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State | AR
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Zip | 72143-4504
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Country | US
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Telephone | 409-960-8432
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Fax |
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Provider Business Mailing Address
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Address Line | 5 RIVER OAKS TRACE
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City | SEARCY
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State | AR
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Zip | 72143
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Country | US
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Telephone | 409-960-8432
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR OF OPERATIONS
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Name | MS. NICAL ANITA MARTIN-MATTHEWS
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Credential | RN
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Telephone | 409-960-8432
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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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