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General NPI Number Information
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NPI Number | 1164608238
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Entity Type | Organization
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Legal Business Name | OUTREACH HEALTH COMMUNITY CARE SERVICES, LP
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7878 GATEWAY BLVD E STE 401
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City | EL PASO
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State | TX
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Zip | 79915-1802
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Country | US
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Telephone | 915-595-8729
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Fax | 915-595-8990
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Provider Business Mailing Address
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Address Line | 269 RENNER PKWY
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City | RICHARDSON
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State | TX
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Zip | 75080-1316
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Country | US
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Telephone | 972-840-7360
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Fax | 972-792-6739
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Authorized Official
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Title or Position | DIRECTOR OF ADMIN AND SUPPORT SRVCS
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Name | MS. JULIE L RYON
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Credential |
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Telephone | 972-840-7360
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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 | 007333
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License Number State | TX
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