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General NPI Number Information
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NPI Number | 1164755088
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Entity Type | Organization
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Legal Business Name | HEALTHCARE HOUSECALLS, LLC
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 603 SPRING MILLS RD
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City | MESQUITE
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State | TX
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Zip | 75181-2674
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Country | US
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Telephone | 972-222-1499
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Fax | 972-222-1499
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Provider Business Mailing Address
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Address Line | PO BOX 870460
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City | MESQUITE
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State | TX
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Zip | 75187-0460
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Country | US
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Telephone | 972-222-1499
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Fax | 972-222-1499
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Authorized Official
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Title or Position | RN, MS, FNP-C
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Name | DORIS C HARVEY
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Credential | FNP-C
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Telephone | 972-222-1499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 558796
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License Number State | TX
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