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General NPI Number Information
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NPI Number | 1558034553
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Entity Type | Organization
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Legal Business Name | FAITH IN CARE HEALTH SERVICE LLC
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 1600 PRESIDENT GEORGE BUSH HWY APT 4003
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City | ROWLETT
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State | TX
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Zip | 75088-1836
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Country | US
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Telephone | 972-765-6352
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 PRESIDENT GEORGE BUSH HWY APT 4003
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City | ROWLETT
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State | TX
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Zip | 75088-1836
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Country | US
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Telephone | 972-765-6352
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Fax | 866-372-2505
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Authorized Official
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Title or Position | OWNER
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Name | XAVIER KNOX
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Credential |
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Telephone | 695-774-0684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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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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