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General NPI Number Information
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NPI Number | 1538502547
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Entity Type | Organization
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Legal Business Name | A GOOD HOME HEALTH & HOSPICE LLC
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 1513 VICEROY DR
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City | DALLAS
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State | TX
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Zip | 75235-2303
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Country | US
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Telephone | 214-819-3868
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Fax |
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Provider Business Mailing Address
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Address Line | 9700 EUCARIZ AVE SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87121-3606
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Country | US
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Telephone | 214-819-3868
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALMA QUINAGORAN
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Credential |
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Telephone | 214-819-3868
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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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