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General NPI Number Information
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NPI Number | 1003969130
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Entity Type | Organization
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Legal Business Name | BETHESDA HOME HEALTH CARE, PLLC
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8204 ELMBROOK DR SUITE 135
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City | DALLAS
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State | TX
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Zip | 75247-4067
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Country | US
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Telephone | 214-879-0803
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Fax | 214-879-0828
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Provider Business Mailing Address
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Address Line | 717 CARVER ST
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City | MESQUITE
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State | TX
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Zip | 75149-5009
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Country | US
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Telephone | 972-216-1818
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Fax | 972-216-1919
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | GERALD DON HARMAN
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Credential |
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Telephone | 972-216-1818
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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 | 009188
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License Number State | TX
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