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General NPI Number Information
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NPI Number | 1023700325
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Entity Type | Organization
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Legal Business Name | FACO HEALTHCARE SERVICES
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 3610 W PIONEER PKWY STE 105
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City | PANTEGO
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State | TX
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Zip | 76013-4502
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Country | US
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Telephone | 817-422-9008
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Fax | 817-422-9006
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Provider Business Mailing Address
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Address Line | 3610 W PIONEER PKWY STE 105
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City | PANTEGO
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State | TX
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Zip | 76013-4502
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Country | US
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Telephone | 817-422-9008
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Fax | 817-422-9006
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Authorized Official
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Title or Position | OWNER/CEO
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Name | STANDLY NGWA ASANGA
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Credential | PHAM.D
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Telephone | 617-291-8477
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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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Taxonomy #2
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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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