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NPI 1477793206

NPI 1477793206 : INFINITE HEALTH SERVICES : GARLAND, TX

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General NPI Number Information
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    NPI Number           |    1477793206
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    Entity Type          |    Organization 
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    Legal Business Name  |    INFINITE HEALTH SERVICES 
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Dates
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    Enumeration Date     |    03/06/2009
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    Last Update Date     |    03/06/2009
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Provider Practice Location Address
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    Address Line         |    5201 WHITEHAVEN DR 
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    City                 |    GARLAND
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    State                |    TX
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    Zip                  |    75043-2099
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    Country              |    US
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    Telephone            |    214-978-7157
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 171016 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75217-1116
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     ALICIA  JERNIGAN 
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    Credential           |    
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    Telephone            |    214-978-7157
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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       |    
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    License Number State |    
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