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General NPI Number Information
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NPI Number | 1376653642
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Entity Type | Organization
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Legal Business Name | FARMINGTON PLACE HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 901 N MCDONALD ST STE 504
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City | MCKINNEY
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State | TX
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Zip | 75069-2166
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Country | US
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Telephone | 214-544-0180
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Fax | 214-544-0064
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Provider Business Mailing Address
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Address Line | 3104 NORMANDY DR
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City | MCKINNEY
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State | TX
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Zip | 75070-4733
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Country | US
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Telephone | 214-544-0180
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Fax | 214-544-0064
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Authorized Official
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Title or Position | CEO
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Name | KEHINDE OLUGBOLAHAN OGUNDIPE
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Credential |
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Telephone | 214-544-0180
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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 | 008681
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License Number State | TX
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