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General NPI Number Information
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NPI Number | 1962551010
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Entity Type | Organization
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Legal Business Name | LOVING HEARTS HOME CARE INC.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 7130 W. MAPLE STE 200C
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City | WICHITA
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State | KS
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Zip | 67209-2101
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Country | US
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Telephone | 316-636-5510
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Fax | 316-636-5703
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Provider Business Mailing Address
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Address Line | 7130 W. MAPLE STE 200C
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City | WICHITA
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State | KS
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Zip | 67209-2101
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Country | US
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Telephone | 316-636-5510
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Fax | 316-636-5703
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Authorized Official
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Title or Position | OWNER
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Name | MISS BRENDA LEE CARVER
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Credential | R.N
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Telephone | 316-636-5510
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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 | A087084
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License Number State | KS
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