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General NPI Number Information
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NPI Number | 1275974982
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Entity Type | Organization
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Legal Business Name | BETTYES HOME CARE
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 400 N EAST ST
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City | ARLINGTON
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State | TX
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Zip | 76011-7202
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Country | US
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Telephone | 972-322-2162
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Fax | 817-200-6041
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Provider Business Mailing Address
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Address Line | 400 N EAST ST
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City | ARLINGTON
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State | TX
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Zip | 76011-7202
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Country | US
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Telephone | 972-322-2162
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Fax | 817-200-6041
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Authorized Official
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Title or Position | OWNER
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Name | MS. TONYA LASHELLE REEVES
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Credential | RN, BSN
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Telephone | 972-322-2162
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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 | TX
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