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General NPI Number Information
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NPI Number | 1902286115
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Entity Type | Organization
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Legal Business Name | ALL AGES HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 1081 3RD AVE SW STE #5
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City | CARMEL
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State | IN
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Zip | 46032-7595
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Country | US
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Telephone | 317-810-1646
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Fax | 317-810-1649
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Provider Business Mailing Address
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Address Line | 1081 3RD AVE SW STE #5
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City | CARMEL
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State | IN
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Zip | 46032-7595
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Country | US
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Telephone | 317-810-1646
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Fax | 317-810-1649
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN TERRY MAY
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Credential |
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Telephone | 317-810-1646
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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 | 013568
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License Number State | IN
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