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General NPI Number Information
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NPI Number | 1003083098
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Entity Type | Organization
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Legal Business Name | ADAPTIVE HOME CARE INC.
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 4407 PRISTINE DR
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City | FRESNO
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State | TX
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Zip | 77545-9508
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Country | US
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Telephone | 281-431-6780
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Fax | 281-431-8188
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Provider Business Mailing Address
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Address Line | PO BOX 769
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City | FRESNO
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State | TX
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Zip | 77545-0769
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Country | US
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Telephone | 281-431-6780
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Fax | 281-431-8188
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHRISTINA E KIZZEE
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Credential | HOME PROVIDER
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Telephone | 281-431-6780
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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 | 010649
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License Number State | TX
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