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General NPI Number Information
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NPI Number | 1861770026
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Entity Type | Organization
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Legal Business Name | ANTIOCH HOME HEALTH, INC
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 1121 N 5TH STREET
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City | KANSAS CITY
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State | KS
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Zip | 66101-2305
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Country | US
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Telephone | 913-281-8695
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Fax | 913-281-8699
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Provider Business Mailing Address
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Address Line | 1121 N 5TH ST
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City | KANSAS CITY
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State | KS
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Zip | 66101-2305
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Country | US
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Telephone | 913-281-8695
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Fax | 913-281-8699
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Authorized Official
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Title or Position | CEO/ PRESIDENT
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Name | EDGAR H MCINNIS
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Credential |
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Telephone | 913-281-8695
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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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