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General NPI Number Information
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NPI Number | 1104158336
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Entity Type | Organization
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Legal Business Name | PATRIOTIC HOME HEALTH, INC.
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Dates
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Enumeration Date | 02/14/2010
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 130 COLONEL ETHEREDGE BLVD SUITE D2
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City | HUNTSVILLE
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State | TX
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Zip | 77340
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Country | US
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Telephone | 936-291-8700
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Fax | 936-291-8706
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Provider Business Mailing Address
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Address Line | 130 COLONEL ETHEREDGE BLVD SUITE D2
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City | HUNTSVILLE
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State | TX
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Zip | 77340
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Country | US
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Telephone | 936-291-8700
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Fax | 936-291-8706
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DEBRA KAYE HEYT
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Credential |
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Telephone | 281-755-3976
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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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