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General NPI Number Information
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NPI Number | 1073023578
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Entity Type | Organization
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Legal Business Name | STOREY HOLDINGS INC
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 2626 COLE AVE
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City | DALLAS
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State | TX
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Zip | 75204-1094
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Country | US
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Telephone | 214-800-2345
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Fax | 214-800-2344
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Provider Business Mailing Address
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Address Line | 2626 COLE AVE
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City | DALLAS
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State | TX
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Zip | 75204-1094
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Country | US
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Telephone | 214-800-2345
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Fax | 214-800-2344
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Authorized Official
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Title or Position | CFO/PRESIDE
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Name | LYNNE STOREY
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Credential |
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Telephone | 214-800-2345
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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 |
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License Number State |
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