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General NPI Number Information
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NPI Number | 1942580113
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Entity Type | Organization
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Legal Business Name | AUSUS HOME CARE, LLC
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 722 VISTA LN
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City | CHEYENNE
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State | WY
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Zip | 82009-3330
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Country | US
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Telephone | 307-635-1190
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Fax | 307-635-1185
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Provider Business Mailing Address
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Address Line | 722 VISTA LN
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City | CHEYENNE
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State | WY
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Zip | 82009-3330
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Country | US
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Telephone | 307-635-1190
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Fax | 307-635-1185
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. DAVID W. SIMKINS
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Credential |
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Telephone | 307-635-1190
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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 | PENDING
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License Number State | WY
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