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General NPI Number Information
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NPI Number | 1477949741
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Entity Type | Organization
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Legal Business Name | RAINBOW-2-RAINBOW HEALTHCARE INC
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 860 HEBRON PKWY SUITE 203
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City | LEWISVILLE
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State | TX
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Zip | 75057-5151
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Country | US
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Telephone | 972-219-0020
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Fax | 972-219-0019
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Provider Business Mailing Address
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Address Line | 860 HEBRON PKWY SUITE 203
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City | LEWISVILLE
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State | TX
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Zip | 75057-5151
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Country | US
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Telephone | 972-219-0020
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Fax | 972-219-0019
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. EFFIE MAPIYE SMILLIE
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Credential | RGN
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Telephone | 972-219-0020
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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 | 801941885
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License Number State | TX
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