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General NPI Number Information
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NPI Number | 1518530088
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Entity Type | Organization
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Legal Business Name | BURLEE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 2005 SPRING MILLS RD
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City | MESQUITE
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State | TX
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Zip | 75181-2101
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Country | US
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Telephone | 469-870-8895
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 SPRING MILLS RD
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City | MESQUITE
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State | TX
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Zip | 75181-2101
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Country | US
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Telephone | 469-870-8895
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JUANITA DENISE CHISM
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Credential | REGISTERED NURSE
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Telephone | 972-965-1278
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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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