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NPI 1144257940

NPI 1144257940 : DOVER HEALTHCARE SERVICES LLC : MCKINNEY, TX

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General NPI Number Information
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    NPI Number           |    1144257940
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    Entity Type          |    Organization 
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    Legal Business Name  |    DOVER HEALTHCARE SERVICES LLC 
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Dates
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    Enumeration Date     |    06/27/2006
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    Last Update Date     |    10/02/2024
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Provider Practice Location Address
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    Address Line         |    307 S MCDONALD ST STE 400 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75069-5619
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    Country              |    US
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    Telephone            |    214-351-3360
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    Fax                  |    214-988-1488
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Provider Business Mailing Address
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    Address Line         |    307 S MCDONALD ST STE 400 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75069-5619
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    Country              |    US
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    Telephone            |    214-351-3360
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    Fax                  |    214-988-1488
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Authorized Official
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    Title or Position    |    DON/ALTERNATE ADMINISTRATOR
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    Name                 |    MRS. ADEBUKOLA  OBASANYA 
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    Credential           |    DNP, FNP, APRN,RN
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    Telephone            |    214-351-3360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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