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General NPI Number Information
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NPI Number | 1588112569
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Entity Type | Organization
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Legal Business Name | DIVINE HEART SENIOR CAREGIVERS INC
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 09/19/2016
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Provider Practice Location Address
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Address Line | 5068 W PLANO PKWY SUITE 300
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City | PLANO
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State | TX
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Zip | 75093-4408
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Country | US
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Telephone | 469-988-8263
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Fax | 972-767-3545
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Provider Business Mailing Address
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Address Line | PO BOX 261612
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City | PLANO
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State | TX
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Zip | 75026-1612
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Country | US
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Telephone | 469-988-8263
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Fax | 972-767-3545
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATTY A DRAKE
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Credential | RN
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Telephone | 469-988-8264
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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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