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General NPI Number Information
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NPI Number | 1427147610
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Entity Type | Organization
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Legal Business Name | LIBBYS HEALTHCARE MANAGEMENT,INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 12000 FORD ST. SUITEA-120
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City | FARMERS BRANCH
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State | TX
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Zip | 75234
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Country | US
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Telephone | 469-342-1487
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Fax | 469-372-1244
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Provider Business Mailing Address
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Address Line | 12000 FORD RD STE A120
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-7249
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Country | US
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Telephone | 469-342-1487
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Fax | 469-372-1244
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Authorized Official
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Title or Position | OWNER
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Name | IN S LEE
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Credential |
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Telephone | 469-372-1487
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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 | 007387
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License Number State | TX
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