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General NPI Number Information
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NPI Number | 1033237847
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Entity Type | Organization
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Legal Business Name | CERTIFIED HEALTHCARE ASSOCIATES INC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9330 AMBERTON PKWY SUITE 2372
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City | DALLAS
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State | TX
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Zip | 75243-3278
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Country | US
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Telephone | 214-575-4009
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Fax |
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Provider Business Mailing Address
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Address Line | 9330 AMBERTON PKWY STE 2372
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City | DALLAS
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State | TX
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Zip | 75243-3278
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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 | RN DIRECTOR
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Name | MR. TROY ELIDGE MESSICK III
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Credential | RN
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Telephone | 214-575-4009
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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 | 010919
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License Number State | TX
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