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General NPI Number Information
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NPI Number | 1003176298
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Entity Type | Organization
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Legal Business Name | CIRCLE OF LOVE HOME HEALTH AGENCY
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 1130 SILVERWOOD DR APT 208
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City | ARLINGTON
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State | TX
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Zip | 76006-7005
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Country | US
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Telephone | 214-470-1807
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Fax | 877-237-9391
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Provider Business Mailing Address
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Address Line | 1130 SILVERWOOD DR APT 208
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City | ARLINGTON
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State | TX
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Zip | 76006-7005
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Country | US
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Telephone | 214-470-1807
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Fax | 877-237-9391
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARTHA J WELLINGTON
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Credential |
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Telephone | 214-470-1807
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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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