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General NPI Number Information
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NPI Number | 1164698965
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Entity Type | Organization
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Legal Business Name | GOOD HOPE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 3202 DELAFORD DR
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City | CARROLLTON
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State | TX
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Zip | 75007-3036
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Country | US
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Telephone | 972-394-4709
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Fax |
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Provider Business Mailing Address
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Address Line | 3202 DELAFORD DR
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City | CARROLLTON
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State | TX
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Zip | 75007-3036
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Country | US
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Telephone | 972-394-4709
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. SCHOLASTICA IRUKA NWEKE
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Credential | R.N.
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Telephone | 972-394-4709
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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 | 012334
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License Number State | TX
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