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General NPI Number Information
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NPI Number | 1922334275
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Entity Type | Organization
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Legal Business Name | AFT HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 10/21/2009
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 700 W 15TH STREET SUITE #5
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City | EDMOND
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State | OK
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Zip | 73013-3641
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Country | US
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Telephone | 405-227-9899
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Fax | 405-246-9276
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Provider Business Mailing Address
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Address Line | 700 W 15TH SUITE #5
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City | EDMOND
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State | OK
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Zip | 73013-3641
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Country | US
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Telephone | 405-227-9899
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Fax | 405-246-9276
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SARAH RICHARDSON
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Credential | CNA & HHA (OKLAHOMA)
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Telephone | 405-227-9899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HHA-37V753020608
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | CNA-37V753010608
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-52156
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License Number State | OK
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