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General NPI Number Information
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NPI Number | 1487719001
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Entity Type | Organization
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Legal Business Name | CARE OF EXCELLENCE HOME HEALTH, LLC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 03/02/2017
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Provider Practice Location Address
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Address Line | 751 US HIGHWAY 287 NORTH SUITE 104
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City | MANSFIELD
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State | TX
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Zip | 76063
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Country | US
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Telephone | 817-842-4263
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Fax | 817-842-4264
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Provider Business Mailing Address
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Address Line | 751 US HIGHWAY 287 NORTH SUITE 104
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City | MANSFIELD
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State | TX
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Zip | 76063
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Country | US
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Telephone | 817-842-4263
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Fax | 817-842-4264
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Authorized Official
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Title or Position | OWNER, ADMINISTRATOR, DON
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Name | MS. MELINDA S CONN
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Credential | R.N., B.S.N.
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Telephone | 817-842-4263
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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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