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General NPI Number Information
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NPI Number | 1124255104
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Entity Type | Organization
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Legal Business Name | MEDPLUS HOMEHEALTH INC
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 13262 CLEBURNE DR
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City | FRISCO
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State | TX
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Zip | 75035-2348
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Country | US
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Telephone | 469-274-9860
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Fax | 214-988-9036
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Provider Business Mailing Address
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Address Line | 13262 CLEBURNE DR
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City | FRISCO
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State | TX
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Zip | 75035-2348
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Country | US
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Telephone | 469-274-9860
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Fax | 214-988-9036
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Authorized Official
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Title or Position | OWNER
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Name | MR. BERNARD KOFI MARFO
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Credential | RN
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Telephone | 469-274-9860
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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 | TX
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