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General NPI Number Information
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NPI Number | 1487081386
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Entity Type | Organization
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Legal Business Name | HOME CARE TEAM OF TEXAS
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Dates
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Enumeration Date | 10/09/2013
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Last Update Date | 10/09/2013
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Provider Practice Location Address
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Address Line | 193 BROOKSTONE CT
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City | WAXAHACHIE
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State | TX
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Zip | 75165-6135
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Country | US
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Telephone | 972-825-6029
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Fax | 972-923-0555
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Provider Business Mailing Address
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Address Line | 193 BROOKSTONE CT
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City | WAXAHACHIE
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State | TX
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Zip | 75165-6135
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Country | US
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Telephone | 972-825-6029
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Fax | 972-923-0555
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Authorized Official
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Title or Position | CEO
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Name | DARYL BLAKEMORE
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Credential |
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Telephone | 972-825-6069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 313M00000X
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License Number State | TX
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