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General NPI Number Information
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NPI Number | 1366447799
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Entity Type | Organization
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Legal Business Name | JOHNSON HOME HEALTHCARE NURSING INC
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 1130 S EWING AVE BLDG B
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City | DALLAS
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State | TX
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Zip | 75216-1161
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Country | US
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Telephone | 903-875-8942
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Fax | 214-948-1631
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Provider Business Mailing Address
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Address Line | 1130 S EWING AVE BLDG B
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City | DALLAS
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State | TX
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Zip | 75216-1161
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Country | US
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Telephone | 903-875-8942
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Fax | 214-948-1631
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. HELEN N. NEWSOME
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Credential |
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Telephone | 903-875-8942
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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 | 005184
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License Number State | TX
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