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General NPI Number Information
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NPI Number | 1548696339
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Entity Type | Organization
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Legal Business Name | INHOME WHOLISTICARE AND WELLNESS - SOUTH
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 1101 E PLANO PKWY SUITE C-1
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City | PLANO
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State | TX
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Zip | 75074-8541
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Country | US
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Telephone | 972-400-2196
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Fax | 972-235-3754
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Provider Business Mailing Address
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Address Line | 1101 E PLANO PKWY SUITE C-1
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City | PLANO
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State | TX
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Zip | 75074-8541
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Country | US
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Telephone | 972-400-2196
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Fax | 972-235-3754
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANA ELIZABETH DIAZ
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Credential | M.S., CCC-SLP
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Telephone | 972-400-2196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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