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General NPI Number Information
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NPI Number | 1326547928
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Entity Type | Organization
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Legal Business Name | AGLOW HOME HEALTH & HOSPICE CARE
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 8016 STONEHILL DR
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City | PLANO
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State | TX
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Zip | 75025-2564
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Country | US
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Telephone | 602-909-8025
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Fax |
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Provider Business Mailing Address
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Address Line | 8016 STONEHILL DR
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City | PLANO
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State | TX
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Zip | 75025-2564
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Country | US
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Telephone | 602-909-8025
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. CHARLES E OKPARA
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Credential |
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Telephone | 469-702-1948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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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