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General NPI Number Information
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NPI Number | 1275864035
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Entity Type | Organization
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Legal Business Name | CAPRICON HOME HEALTH SERVICES
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 2517 DUNBAR DR
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City | MCKINNEY
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State | TX
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Zip | 75070-9129
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Country | US
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Telephone | 469-952-1321
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Fax |
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Provider Business Mailing Address
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Address Line | 2517 DUNBAR DR
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City | MCKINNEY
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State | TX
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Zip | 75070-9129
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Country | US
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Telephone | 469-952-1321
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MRS. BRENDA YUDA MWEDZIWENDIRA
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Credential | DON
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Telephone | 469-952-1321
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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 | 692766
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License Number State | TX
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