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General NPI Number Information
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NPI Number | 1902200744
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Entity Type | Organization
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Legal Business Name | REGINAS QUALITY CARE
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 3613 POLO CLUB BLVD
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City | LEXINGTON
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State | KY
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Zip | 40509-8560
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Country | US
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Telephone | 859-492-0122
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Fax | 859-309-0178
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Provider Business Mailing Address
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Address Line | 3613 POLO CLUB BLVD
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City | LEXINGTON
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State | KY
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Zip | 40509-8560
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Country | US
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Telephone | 859-492-0122
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Fax | 859-309-0178
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. REGINA S HAIR
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Credential | OWNER
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Telephone | 859-492-0122
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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 | 251E00000X
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License Number State | KY
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