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General NPI Number Information
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NPI Number | 1306116140
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Entity Type | Organization
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Legal Business Name | REVITALIZE HOME HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 7258 ELM ST SUITE A
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City | FRISCO
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State | TX
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Zip | 75034-5747
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Country | US
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Telephone | 469-362-5757
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Fax | 469-362-5759
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Provider Business Mailing Address
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Address Line | 7258 ELM STREET SUITE A
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-362-5757
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Fax | 469-362-5759
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Authorized Official
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Title or Position | OWNER
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Name | ROSA FEINSTEIN
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Credential |
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Telephone | 469-362-5757
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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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