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General NPI Number Information
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NPI Number | 1114162229
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Entity Type | Organization
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Legal Business Name | DOROTHY OZOR
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 1460 BOBING DR
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City | LEWISVILLE
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State | TX
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Zip | 75067-6045
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Country | US
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Telephone | 214-695-2889
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Fax | 972-420-7958
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Provider Business Mailing Address
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Address Line | 1460 BOBING DR
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City | LEWISVILLE
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State | TX
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Zip | 75067-6045
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Country | US
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Telephone | 214-695-2889
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Fax | 972-420-7958
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Authorized Official
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Title or Position | OWNER
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Name | DOROTHY U OZOR
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Credential | RN
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Telephone | 214-695-2889
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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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