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NPI 1245690932

NPI 1245690932 : LAKEPOINT COMPASSION HOME CARE : ROCKWALL, TX

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General NPI Number Information
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    NPI Number           |    1245690932
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAKEPOINT COMPASSION HOME CARE 
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Dates
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    Enumeration Date     |    02/24/2016
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    Last Update Date     |    02/24/2016
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Provider Practice Location Address
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    Address Line         |    892 STEGER TOWNE RD 
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    City                 |    ROCKWALL
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    State                |    TX
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    Zip                  |    75032-5658
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    Country              |    US
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    Telephone            |    972-800-3830
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    190 DRYWELL CT 
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    City                 |    ROYSE CITY
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    State                |    TX
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    Zip                  |    75189-8402
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    Country              |    US
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    Telephone            |    972-800-3830
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     STEVE  HANSON 
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    Credential           |    
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    Telephone            |    972-800-3830
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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       |    
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    License Number State |    
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