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General NPI Number Information
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NPI Number | 1841284353
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HOME CARE INC
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 01/16/2012
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Provider Practice Location Address
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Address Line | 309 N MANDAN ST STE 4
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City | BISMARCK
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State | ND
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Zip | 58501-3886
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Country | US
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Telephone | 701-255-7575
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Fax | 701-255-0699
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Provider Business Mailing Address
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Address Line | 309 N MANDAN ST STE 4
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City | BISMARCK
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State | ND
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Zip | 58501-3886
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Country | US
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Telephone | 701-255-7575
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Fax | 701-255-0699
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MRS. JOANN FERRIE
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Credential |
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Telephone | 701-255-7575
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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 | 4038A
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License Number State | ND
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