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General NPI Number Information
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NPI Number | 1245430552
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Entity Type | Organization
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Legal Business Name | DOROTHY J. HARROD
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 06/01/2011
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Provider Practice Location Address
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Address Line | 126 W MONTEREY ST
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City | DENISON
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State | TX
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Zip | 75021-6363
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Country | US
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Telephone | 903-465-7730
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Fax | 903-465-4248
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Provider Business Mailing Address
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Address Line | 126 W MONTEREY ST
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City | DENISON
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State | TX
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Zip | 75021-6363
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Country | US
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Telephone | 903-465-7730
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Fax | 903-465-4248
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MISTY GAIL FULLER
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Credential |
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Telephone | 903-465-7730
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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 | 003104
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License Number State | TX
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