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General NPI Number Information
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NPI Number | 1174545099
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Entity Type | Organization
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Legal Business Name | GRAYSON COUNTY HOME HEALTH INC
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 1515 S SAM RAYBURN FWY
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City | SHERMAN
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State | TX
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Zip | 75090-8735
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Country | US
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Telephone | 903-891-1613
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Fax | 903-891-9053
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Provider Business Mailing Address
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Address Line | 1515 S SAM RAYBURN FWY
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City | SHERMAN
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State | TX
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Zip | 75090-8735
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Country | US
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Telephone | 903-891-1613
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Fax | 903-891-9053
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Authorized Official
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Title or Position | CEO ADM
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Name | MS. KELLY DANEENE SEXTON
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Credential | LVN
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Telephone | 903-891-1613
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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 | 007388
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License Number State | TX
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