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General NPI Number Information
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NPI Number | 1518965367
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Entity Type | Organization
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Legal Business Name | ADC HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 9304 FOREST LN SUITE NO. S-248
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City | DALLAS
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State | TX
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Zip | 75243-2103
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Country | US
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Telephone | 214-221-2400
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Fax | 214-221-2402
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Provider Business Mailing Address
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Address Line | 9304 FOREST LN SUITE NO. S-248
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City | DALLAS
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State | TX
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Zip | 75243-2103
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Country | US
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Telephone | 214-221-2400
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Fax | 214-221-2402
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DESMOND A IMOH
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Credential | RN, BSN
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Telephone | 214-221-2400
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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 | 008770
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License Number State | TX
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Taxonomy #2
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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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