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General NPI Number Information
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NPI Number | 1275920159
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Entity Type | Organization
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Legal Business Name | WESTSIDE CAREGIVERS, LLC
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Dates
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Enumeration Date | 04/18/2015
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 1212 W EL PASO ST
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City | FORT WORTH
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State | TX
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Zip | 76102-5907
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Country | US
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Telephone | 817-560-3975
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Fax | 866-931-1601
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Provider Business Mailing Address
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Address Line | 118 BEAR PATH TRL
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City | FORT WORTH
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State | TX
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Zip | 76126-9691
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Country | US
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Telephone | 817-991-7253
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KAREN DELL WILLIAMS
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Credential | RN
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Telephone | 817-991-7253
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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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