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General NPI Number Information
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NPI Number | 1013558329
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Entity Type | Organization
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Legal Business Name | TX PRESTIGE HOME HEALTH, INCORPORATED
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 2340 E TRINITY MILLS RD STE 340
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City | CARROLLTON
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State | TX
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Zip | 75006-1942
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Country | US
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Telephone | 214-499-8139
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 CARLET DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-1656
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PEARL EBOSON
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Credential |
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Telephone | 281-705-8179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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