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General NPI Number Information
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NPI Number | 1538331822
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Entity Type | Organization
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Legal Business Name | CARE EXCELLENCE HOMEHEALTH LLC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 4416 FOREST BEND DRIVE
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City | DALLAS
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State | TX
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Zip | 75244
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Country | US
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Telephone | 214-493-2112
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Fax | 972-991-2275
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Provider Business Mailing Address
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Address Line | 4416 FOREST BEND DRIVE
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City | DALLAS
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State | TX
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Zip | 75244
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Country | US
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Telephone | 214-493-2112
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Fax | 972-991-2275
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARLENE D PUENTE
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Credential | RN
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Telephone | 214-493-2112
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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 | 011540
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License Number State | TX
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