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General NPI Number Information
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NPI Number | 1144287608
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Entity Type | Organization
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Legal Business Name | KC HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2601 GUS THOMASSON RD SUITE 100
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City | MESQUITE
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State | TX
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Zip | 75150-5349
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Country | US
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Telephone | 972-289-2211
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Fax | 972-289-2237
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Provider Business Mailing Address
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Address Line | 2601 GUS THOMASSON RD SUITE 100
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City | MESQUITE
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State | TX
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Zip | 75150-5349
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Country | US
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Telephone | 972-289-2211
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Fax | 972-289-2237
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Authorized Official
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Title or Position | CFO
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Name | MR. JOEL NWOKE
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Credential |
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Telephone | 972-289-2211
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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 | 007799
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License Number State | TX
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