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General NPI Number Information
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NPI Number | 1043473994
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Entity Type | Organization
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Legal Business Name | INHOME CARE
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 2806 34TH ST SUITE #7
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City | LUBBOCK
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State | TX
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Zip | 79410-3524
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Country | US
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Telephone | 806-785-7775
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Fax | 806-785-7778
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Provider Business Mailing Address
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Address Line | 808 W INDIANA AVE
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City | MIDLAND
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State | TX
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Zip | 79701-6610
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Country | US
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Telephone | 432-570-4475
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Fax | 432-570-1303
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MICHAEL EARL WATERS
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Credential |
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Telephone | 432-570-4475
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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 | 011631
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License Number State | TX
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