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General NPI Number Information
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NPI Number | 1497258560
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Entity Type | Organization
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Legal Business Name | GREENFIELD-VILLAGE HOME HEALTH CARE AGENCY LLC
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 2442 S COLLINS ST STE 108
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City | ARLINGTON
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State | TX
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Zip | 76014-1247
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Country | US
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Telephone | 817-400-8041
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Fax | 866-381-0194
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Provider Business Mailing Address
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Address Line | 2442 S COLLINS ST STE 108
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City | ARLINGTON
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State | TX
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Zip | 76014-1247
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Country | US
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Telephone | 817-400-8041
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Fax | 866-381-0194
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Authorized Official
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Title or Position | OWNER
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Name | CLEOPATRA ADELODUN
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Credential |
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Telephone | 817-400-8041
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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 |
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