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General NPI Number Information
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NPI Number | 1265851844
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Entity Type | Organization
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Legal Business Name | FULLCARE HOME HEALTH, INC.
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 1400 8TH ST B4
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City | BAY CITY
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State | TX
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Zip | 77414-4962
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Country | US
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Telephone | 281-570-7397
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 8TH ST
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City | BAY CITY
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State | TX
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Zip | 77414-4962
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Country | US
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Telephone | 281-570-7397
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. FOLASADE FLORENCE ADEYEYE
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Credential |
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Telephone | 281-570-7397
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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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