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General NPI Number Information
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NPI Number | 1295906527
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Entity Type | Organization
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Legal Business Name | LIBERTY HOME HEALTH CARE SERVICES, P.C
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 2225 SUSAN CIR
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City | PLANO
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State | TX
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Zip | 75074-3583
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Country | US
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Telephone | 214-682-9299
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Fax |
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Provider Business Mailing Address
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Address Line | 2225 SUSAN CIR
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City | PLANO
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State | TX
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Zip | 75074-3583
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LILLIAN EGHAREVBA
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Credential |
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Telephone | 214-682-9299
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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 | 679262
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License Number State | TX
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