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General NPI Number Information
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NPI Number | 1912795592
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Entity Type | Organization
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Legal Business Name | LAWSON'S BRIDGE HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 3526 STELLHORN RD
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City | FORT WAYNE
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State | IN
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Zip | 46815-8661
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Country | US
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Telephone | 260-298-7466
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Fax | 260-298-7486
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Provider Business Mailing Address
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Address Line | 3526 STELLHORN RD
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City | FORT WAYNE
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State | IN
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Zip | 46815-8661
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Country | US
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Telephone | 260-298-7466
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Fax | 260-298-7486
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Authorized Official
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Title or Position | CEO / OWNER
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Name | SHIRLEY ANN MALONE
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Credential |
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Telephone | 260-298-7466
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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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