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General NPI Number Information
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NPI Number | 1245533496
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Entity Type | Organization
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Legal Business Name | HOME TELEHEALTH LLC
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 3330 EARHART DR. SUITE 210
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City | CARROLLTON
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State | TX
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Zip | 75006
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Country | US
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Telephone | 972-938-0703
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 EARHART DR SUITE 210
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City | CARROLLTON
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State | TX
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Zip | 75006
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Country | US
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Telephone | 972-938-0703
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID STANLEY
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Credential |
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Telephone | 972-938-0703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 014084
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License Number State | TX
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