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General NPI Number Information
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NPI Number | 1043699879
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Entity Type | Organization
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Legal Business Name | OVERTURE HOME CARE
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 4225 BENBROOK HWY
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City | FORT WORTH
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State | TX
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Zip | 76116-8606
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Country | US
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Telephone | 817-887-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 4225 BENBROOK HWY
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City | FORT WORTH
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State | TX
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Zip | 76116-8606
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Country | US
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Telephone | 817-887-9401
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DENISE HELMS
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Credential | R.N.
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Telephone | 972-342-6692
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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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