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General NPI Number Information
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NPI Number | 1306593306
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Entity Type | Organization
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Legal Business Name | DOMINION HOME HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 01/07/2023
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Provider Practice Location Address
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Address Line | 733 EDINBURGH DR
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City | ANNA
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State | TX
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Zip | 75409-0287
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Country | US
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Telephone | 214-451-8727
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Fax | 469-519-4837
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Provider Business Mailing Address
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Address Line | 733 EDINBURGH DR
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City | ANNA
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State | TX
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Zip | 75409-0287
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Country | US
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Telephone | 214-451-8727
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ADEREMI A JUNAID
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Credential |
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Telephone | 214-451-8727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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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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