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General NPI Number Information
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NPI Number | 1558069849
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Entity Type | Organization
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Legal Business Name | PRECIOUS CARE HOME HEALTH INC
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 811 S CENTRAL EXPY STE 304
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City | RICHARDSON
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State | TX
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Zip | 75080-7424
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Country | US
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Telephone | 972-680-0096
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Fax | 972-680-8318
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Provider Business Mailing Address
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Address Line | 811 S CENTRAL EXPY STE 304
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City | RICHARDSON
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State | TX
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Zip | 75080-7424
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Country | US
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Telephone | 972-680-0096
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Fax | 972-680-8318
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Authorized Official
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Title or Position | OWNER
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Name | DERRICK NIBA
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Credential | RN
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Telephone | 972-680-0096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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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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