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General NPI Number Information
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NPI Number | 1821568379
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Entity Type | Organization
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Legal Business Name | INFINITE HOME HEALTH LLC
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 01/04/2019
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Provider Practice Location Address
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Address Line | 4660 MAIN ST STE 200-2B
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City | SPRINGFIELD
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State | OR
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Zip | 97478-6087
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Country | US
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Telephone | 541-654-5682
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Fax |
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Provider Business Mailing Address
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Address Line | 1574 COBURG RD # 292
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City | EUGENE
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State | OR
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Zip | 97401-4802
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SIERRA DAWN ROBERTS
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Credential |
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Telephone | 541-206-5681
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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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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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