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General NPI Number Information
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NPI Number | 1396043394
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Entity Type | Organization
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Legal Business Name | UNIVERSAL PLUS HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 1006 SCOTTS BLUFF DR
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City | ALLEN
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State | TX
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Zip | 75002-1537
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Country | US
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Telephone | 972-908-3942
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Fax | 469-675-3503
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Provider Business Mailing Address
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Address Line | 1006 SCOTTS BLUFF DR
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City | ALLEN
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State | TX
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Zip | 75002-1537
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Country | US
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Telephone | 972-908-3942
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Fax | 469-675-3503
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JEAN MARIE KAZENGA
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Credential |
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Telephone | 972-908-3942
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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 | TX
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