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General NPI Number Information
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NPI Number | 1003188756
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Entity Type | Organization
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Legal Business Name | SAVE HAVEN HOME HEALTHCARE AGENCY
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Dates
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Enumeration Date | 01/26/2012
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 1418 STONEY HILLS DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-6232
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Country | US
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Telephone | 972-291-4365
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Fax | 972-293-0347
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Provider Business Mailing Address
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Address Line | 1418 STONEY HILLS DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-6232
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Country | US
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Telephone | 972-291-4365
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Fax | 972-293-0347
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | TESIA RUNNELS
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Credential |
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Telephone | 469-955-7571
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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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