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General NPI Number Information
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NPI Number | 1427026582
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Entity Type | Organization
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Legal Business Name | ALLEGIANCE HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 401 E FRONT ST STE 221C
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City | TYLER
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State | TX
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Zip | 75702-8293
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Country | US
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Telephone | 903-593-1737
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Fax | 903-593-1752
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Provider Business Mailing Address
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Address Line | 1143 ROCKINGHAM DR STE 107
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City | RICHARDSON
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State | TX
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Zip | 75080-4327
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Country | US
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Telephone | 903-593-1737
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Fax | 903-593-1752
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Authorized Official
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Title or Position | ALT ADMINISTRATOR
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Name | MRS. INSIYA BOOTWALA
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Credential |
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Telephone | 903-593-1737
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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 | 008374
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License Number State | TX
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