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General NPI Number Information
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NPI Number | 1013199439
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Entity Type | Organization
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Legal Business Name | DESTINY FIRST HOME HEALTH CARE INC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 2930 LANDERSHIRE LN
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City | GARLAND
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State | TX
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Zip | 75044-5962
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Country | US
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Telephone | 972-757-8914
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Fax | 972-675-2104
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Provider Business Mailing Address
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Address Line | 2930 LANDERSHIRE LN
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City | GARLAND
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State | TX
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Zip | 75044-5962
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Country | US
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Telephone | 972-757-8914
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Fax | 972-675-2104
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Authorized Official
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Title or Position | DON/ADMINISTRATOR
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Name | MRS. GERALDINE OKPARA
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Credential | RN
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Telephone | 972-757-8914
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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 | 012731
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License Number State | TX
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