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General NPI Number Information
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NPI Number | 1235951260
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Entity Type | Organization
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Legal Business Name | PANHANDLE HOMECARE, LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1313 W WILSON ST STE A
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City | BORGER
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State | TX
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Zip | 79007-4421
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Country | US
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Telephone | 737-356-3798
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Fax | 737-381-3453
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Provider Business Mailing Address
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Address Line | 101 W RENNER RD STE 420
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City | RICHARDSON
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State | TX
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Zip | 75082-2022
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Country | US
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Telephone | 972-468-8070
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | DONNIE MABERRY
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Credential |
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Telephone | 972-468-8070
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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 |
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License Number State |
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