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General NPI Number Information
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NPI Number | 1003066093
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Entity Type | Organization
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Legal Business Name | HCA ALPHA INC
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 8330 LYNDON B JOHNSON FWY STE 710
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City | DALLAS
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State | TX
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Zip | 75243
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Country | US
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Telephone | 254-221-4252
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Fax | 214-594-2250
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Provider Business Mailing Address
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Address Line | 14902 PRESTON RD STE 404-327
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City | DALLAS
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State | TX
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Zip | 75254-9191
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Country | US
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Telephone | 254-221-4252
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Fax | 254-594-2250
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Authorized Official
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Title or Position | ALTERNATIVE ADMINISTRATOR
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Name | NATHANIEL E JIMENEZ
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Credential |
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Telephone | 703-717-8453
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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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