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General NPI Number Information
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NPI Number | 1437335502
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Entity Type | Organization
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Legal Business Name | OUTREACH HEALTH COMMUNTIY CARE SERVICES
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 7200 SW 45TH AVE UNIT 11
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City | AMARILLO
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State | TX
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Zip | 79109-5084
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Country | US
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Telephone | 806-373-0986
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Fax | 806-373-5128
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Provider Business Mailing Address
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Address Line | 251 RENNER PKWY
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City | RICHARDSON
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State | TX
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Zip | 75080-1316
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Country | US
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Telephone | 512-692-7834
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Fax | 972-792-6739
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Authorized Official
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Title or Position | CORPORATE LEGAL MANAGER
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Name | REBECCA L WILLIAMS
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Credential |
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Telephone | 214-703-1310
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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 | 007335
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License Number State | TX
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