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General NPI Number Information
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NPI Number | 1063575983
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Entity Type | Organization
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Legal Business Name | YOUNG COUNTY HOME HEALTH CARE INC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 700 ELM ST
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City | GRAHAM
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State | TX
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Zip | 76450-3019
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Country | US
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Telephone | 940-549-4039
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Fax | 940-549-9814
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Provider Business Mailing Address
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Address Line | 700 ELM ST
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City | GRAHAM
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State | TX
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Zip | 76450-3019
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Country | US
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Telephone | 940-549-4039
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Fax | 940-549-9814
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. HARRY LAMISON TALBOTT III
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Credential | RN
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Telephone | 940-549-4039
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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 | 001773
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License Number State | TX
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