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General NPI Number Information
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NPI Number | 1588106603
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Entity Type | Organization
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Legal Business Name | GIFTED HANDS HOUSECALL INC
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1221 W AIRPORT FWY STE 209
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City | IRVING
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State | TX
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Zip | 75062-6209
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Country | US
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Telephone | 214-455-5028
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Fax |
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Provider Business Mailing Address
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Address Line | 801 RAINBOW DR
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City | RICHARDSON
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State | TX
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Zip | 75081-4418
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Country | US
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Telephone | 214-457-3717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEONA R KOLLURI
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Credential |
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Telephone | 214-457-3717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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