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General NPI Number Information
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NPI Number | 1487606992
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Entity Type | Organization
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Legal Business Name | BQC HOME HEALTH AGENCY, INC.
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 329 OAKS TRL STE 147
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City | GARLAND
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State | TX
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Zip | 75043-4037
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Country | US
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Telephone | 972-203-8500
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Fax | 972-203-8508
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Provider Business Mailing Address
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Address Line | PO BOX 1985
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City | ROCKWALL
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State | TX
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Zip | 75087-2085
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Country | US
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Telephone | 972-203-8500
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Fax | 972-203-8508
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR
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Name | RACHEL AKPOM
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Credential | MSN, RN
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Telephone | 972-203-8500
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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 | 009682
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License Number State | TX
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