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General NPI Number Information
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NPI Number | 1962108811
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Entity Type | Organization
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Legal Business Name | HOME HEALTH OF KANSAS, LLC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 7607 E HARRY ST
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City | WICHITA
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State | KS
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Zip | 67207-3111
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Country | US
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Telephone | 316-869-0015
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Fax | 316-618-0414
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Provider Business Mailing Address
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Address Line | 7607 E HARRY ST
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City | WICHITA
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State | KS
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Zip | 67207-3111
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Country | US
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Telephone | 316-869-0015
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Fax | 316-618-0414
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | ANN HOUK
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Credential | RN
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Telephone | 316-869-0015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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