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General NPI Number Information
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NPI Number | 1447408059
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Entity Type | Organization
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Legal Business Name | IZEN HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 10000 N CENTRAL EXPY SUITE 400
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City | DALLAS
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State | TX
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Zip | 75231-4177
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Country | US
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Telephone | 214-987-2100
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Fax | 214-987-2104
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Provider Business Mailing Address
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Address Line | 10000 N CENTRAL EXPY SUITE 400
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City | DALLAS
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State | TX
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Zip | 75231-4177
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Country | US
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Telephone | 214-987-2100
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Fax | 214-987-2104
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MUFADDAL BOOTWALA
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Credential |
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Telephone | 214-987-2100
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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 | 012144
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License Number State | TX
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