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General NPI Number Information
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NPI Number | 1114208527
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Entity Type | Organization
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Legal Business Name | DAY SPRING HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 603 HOLLYBERRY DRIVE
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City | MANSFIELD
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State | TX
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Zip | 76063
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Country | US
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Telephone | 682-414-6590
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Fax | 817-701-0262
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Provider Business Mailing Address
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Address Line | 603 HOLLYBERRY DRIVE
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City | MANSFIELD
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State | TX
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Zip | 76063
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Country | US
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Telephone | 682-414-6590
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Fax | 817-701-0262
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Authorized Official
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Title or Position | MANAGER
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Name | IYABODE ABIOLA AYODELE
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Credential | REGISTERED NURSE
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Telephone | 682-414-5690
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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 | 014582
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License Number State | TX
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