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General NPI Number Information
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NPI Number | 1417138678
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Entity Type | Organization
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Legal Business Name | TEXAS CAREGIVERS INC
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 3509 HULEN ST STE 252
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City | FORT WORTH
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State | TX
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Zip | 76107-6867
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Country | US
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Telephone | 817-763-0763
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Fax | 817-763-0771
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Provider Business Mailing Address
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Address Line | 3509 HULEN ST STE 252
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City | FORT WORTH
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State | TX
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Zip | 76107-6867
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Country | US
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Telephone | 817-763-0763
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Fax | 817-763-0771
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Authorized Official
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Title or Position | DIRECTOR OF OPERATION/OWNER
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Name | MRS. MARIA CORAZON DAWSON
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Credential |
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Telephone | 817-763-0763
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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 | 011431
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License Number State | TX
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