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General NPI Number Information
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NPI Number | 1144315706
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Entity Type | Organization
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Legal Business Name | DELCORP HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1408 S. JEFFERESON STREET SUITE 114
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City | AMARILLO
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State | TX
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Zip | 79101-4048
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Country | US
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Telephone | 806-373-8100
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Fax | 806-378-9996
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Provider Business Mailing Address
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Address Line | 1408 S. JEFFERESON STREET SUITE 114
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City | AMARILLO
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State | TX
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Zip | 79101-4048
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Country | US
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Telephone | 806-373-8100
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Fax | 806-378-9996
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DOROTHY E GOODEN
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Credential | MSN
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Telephone | 806-231-3239
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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 | 010011
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License Number State | TX
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