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General NPI Number Information
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NPI Number | 1013148758
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Entity Type | Organization
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Legal Business Name | A LEGACY OF HOME HEALTH CARE SERVICES AND HOSPICE LLC.
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 115 OAK HILL RD
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City | TEXARKANA
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State | TX
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Zip | 75501-2732
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Country | US
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Telephone | 903-244-6768
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Fax | 903-831-4801
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Provider Business Mailing Address
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Address Line | PO BOX 7468
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City | TEXARKANA
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State | TX
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Zip | 75505-7468
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Country | US
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Telephone | 903-831-4801
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Fax | 903-831-4801
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Authorized Official
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Title or Position | ADMIN/DON
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Name | MRS. GWENDER MARIE STIGER
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Credential | RN
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Telephone | 903-831-4801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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