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General NPI Number Information
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NPI Number | 1053636621
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Entity Type | Organization
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Legal Business Name | SANTA CRUZ HOME HEALTH CARE INC
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 04/07/2010
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Provider Practice Location Address
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Address Line | 2317 BENNINGTON DRIVE
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City | ARLINGTON
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State | TX
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Zip | 76018
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Country | US
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Telephone | 817-845-0205
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Fax | 817-375-5066
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Provider Business Mailing Address
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Address Line | 2317 BENNINGTON DRIVE
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City | ARLINGTON
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State | TX
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Zip | 76018
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Country | US
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Telephone | 817-845-0205
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Fax | 817-375-5066
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. JULIANA NGOZI OKOCHA
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Credential | RN
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Telephone | 817-845-0205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 759933
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 759933
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 759933
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License Number State | TX
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