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General NPI Number Information
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NPI Number | 1134568595
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Entity Type | Organization
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Legal Business Name | AVIATOR HOME HEALTH LLC
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 9500 RAY WHITE RD STE 200
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City | FORT WORTH
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State | TX
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Zip | 76244-9105
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Country | US
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Telephone | 972-548-2163
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Fax | 972-347-6306
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Provider Business Mailing Address
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Address Line | 9500 RAY WHITE RD STE 200
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City | FORT WORTH
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State | TX
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Zip | 76244-9105
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Country | US
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Telephone | 972-548-2163
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Fax | 972-347-6306
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Authorized Official
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Title or Position | ACCOUNTS AND OPERATIONS SENIOR EXEC
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Name | CARL HAAS
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Credential |
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Telephone | 972-548-2163
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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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