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General NPI Number Information
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NPI Number | 1316737794
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Entity Type | Organization
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Legal Business Name | HOME HALO OF PLANO, LLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 2425 CENTRAL EXPY APT 16209
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City | MELISSA
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State | TX
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Zip | 75454-2368
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Country | US
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Telephone | 469-854-1800
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Fax | 888-209-3714
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Provider Business Mailing Address
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Address Line | 8400 E PRENTICE AVE PH 1500
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2927
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Country | US
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Telephone | 616-581-7878
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Fax | 888-209-3714
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL DEAK
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Credential |
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Telephone | 616-581-7878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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