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General NPI Number Information
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NPI Number | 1497155519
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Entity Type | Organization
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Legal Business Name | COMPLETE HOME CARE - PRIVATE DUTY LLC
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 6625 MIAMI LAKES DR E STE 213
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2761
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Country | US
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Telephone | 786-264-5259
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 EXECUTIVE DR STE 250
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City | IRVING
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State | TX
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Zip | 75038-2508
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Country | US
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Telephone | 972-677-3499
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM D ALVERSON
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Credential |
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Telephone | 404-408-7096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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