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General NPI Number Information
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NPI Number | 1033343876
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Entity Type | Organization
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Legal Business Name | CEPF HOME HEALHT AGENCY INC
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 14827 SNOWSHILL DR
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City | FRISCO
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State | TX
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Zip | 75035-7237
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Country | US
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Telephone | 469-579-4866
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Fax | 469-579-4866
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Provider Business Mailing Address
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Address Line | 14827 SNOWSHILL DR
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City | FRISCO
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State | TX
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Zip | 75035-7237
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Country | US
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Telephone | 469-579-4866
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Fax | 469-579-4866
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EVANS OMOYE
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Credential | PRESIDENT
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Telephone | 214-607-8338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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