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General NPI Number Information
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NPI Number | 1902833825
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Entity Type | Organization
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Legal Business Name | GENTIVA HEALTH SERVICES (USA), LLC
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 804 E JACKSON ST
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City | HUGO
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State | OK
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Zip | 74743-4222
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Country | US
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Telephone | 580-326-8376
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Fax |
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Provider Business Mailing Address
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Address Line | 12900 FOSTER ST STE 400
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2696
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | RUTH SCHWARTZ
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Credential |
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Telephone | 913-814-2288
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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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