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General NPI Number Information
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NPI Number | 1366628026
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Entity Type | Organization
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Legal Business Name | ESTELLE'S HOME HEALTH AGENCY INC.
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Dates
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Enumeration Date | 01/12/2008
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 1200 STANHOPE CT
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City | SOUTHLAKE
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State | TX
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Zip | 76092-4719
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Country | US
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Telephone | 817-460-0805
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Fax | 817-416-6528
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Provider Business Mailing Address
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Address Line | 1200 STANHOPE CT
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City | SOUTHLAKE
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State | TX
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Zip | 76092-4719
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Country | US
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Telephone | 817-460-0805
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Fax | 817-416-6528
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. ESTELLE N OJI
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Credential | RN/ADMIN
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Telephone | 817-460-0805
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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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