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General NPI Number Information
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NPI Number | 1942504592
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Entity Type | Organization
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Legal Business Name | AT HOME CARE, LLC
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 219 N WASHINGTON ST
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City | THORP
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State | WI
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Zip | 54771-9535
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Country | US
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Telephone | 715-669-3376
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Fax | 715-669-3151
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Provider Business Mailing Address
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Address Line | 219 N WASHINGTON ST PO BOX 143
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City | THORP
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State | WI
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Zip | 54771-9535
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Country | US
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Telephone | 715-669-3376
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Fax | 715-669-3151
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Authorized Official
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Title or Position | CHAIRMAN
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Name | ANDREW THAIN
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Credential |
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Telephone | 715-669-3376
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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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