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General NPI Number Information
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NPI Number | 1255425625
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Entity Type | Organization
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Legal Business Name | OPTIMAL HOME HEALTH INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 8344 E R L THORNTON FWY STE 214
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City | DALLAS
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State | TX
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Zip | 75228
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Country | US
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Telephone | 214-660-1055
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Fax | 214-556-1374
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Provider Business Mailing Address
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Address Line | 8344 E R L THORNTON FWY STE 214
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City | DALLAS
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State | TX
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Zip | 75228-7126
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Country | US
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Telephone | 214-660-1055
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Fax | 214-556-1374
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR/DON
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Name | MRS. JOANN EHIGIATOR
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Credential | RN, BSN
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Telephone | 214-660-1055
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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 | 010354
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License Number State | TX
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