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General NPI Number Information
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NPI Number | 1427583236
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Entity Type | Organization
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Legal Business Name | ABSOLUTE COMMUNITY HEALTH, LLC
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Dates
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Enumeration Date | 04/29/2017
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 402 W WHEATLAND RD STE 180
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4600
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Country | US
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Telephone | 469-254-5346
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Fax | 888-703-4933
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Provider Business Mailing Address
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Address Line | 402 W WHEATLAND RD STE 128
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4628
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Country | US
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Telephone | 469-254-5346
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Fax | 682-727-5999
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Authorized Official
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Title or Position | OWNER/ PROGRAM MANAGER
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Name | MICHELE SHEREE GOMEZ
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Credential | LVN
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Telephone | 469-254-5346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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