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General NPI Number Information
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NPI Number | 1477833705
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Entity Type | Organization
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Legal Business Name | AGING IN PLACE
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 2351 W NORTHWEST HWY STE. 1201
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City | DALLAS
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State | TX
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Zip | 75220-4433
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Country | US
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Telephone | 214-864-1219
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Fax | 866-262-9444
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Provider Business Mailing Address
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Address Line | 2351 W NORTHWEST HWY STE. 1201
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City | DALLAS
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State | TX
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Zip | 75220-4433
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Country | US
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Telephone | 214-864-1219
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Fax | 866-262-9444
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Authorized Official
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Title or Position | CEO
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Name | MS. LEONORA GIBSON
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Credential | RN
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Telephone | 214-864-1219
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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 | TX
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | TX
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