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General NPI Number Information
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NPI Number | 1902127111
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Entity Type | Organization
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Legal Business Name | LIFE TRANSITIONS LLC
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 825 1/2 E SHERMAN ST
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City | HUTCHINSON
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State | KS
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Zip | 67501-3059
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Country | US
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Telephone | 620-259-7960
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Fax | 620-259-7960
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Provider Business Mailing Address
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Address Line | 825 1/2 E SHERMAN ST
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City | HUTCHINSON
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State | KS
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Zip | 67501-3059
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Country | US
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Telephone | 620-259-7960
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Fax | 620-259-7960
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | MS. CARLA DUNIGAN
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Credential | LBSW
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Telephone | 620-259-7960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3623
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License Number State | KS
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