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General NPI Number Information
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NPI Number | 1952545709
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Entity Type | Organization
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Legal Business Name | HOME CARE NETWORK, INC
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 14700 STATE HIGHWAY 133
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City | BLAIR
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State | NE
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Zip | 68008
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Country | US
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Telephone | 408-254-4650
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Fax | 402-533-1185
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Provider Business Mailing Address
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Address Line | PO BOX 96
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City | BLAIR
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State | NE
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Zip | 68008-0096
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Country | US
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Telephone | 408-254-4650
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Fax | 402-533-1185
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SALLY J RYAN
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Credential | RN
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Telephone | 408-254-4650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 257805
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License Number State | CA
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