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General NPI Number Information
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NPI Number | 1598982985
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Entity Type | Organization
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Legal Business Name | S FISHER & S THOMAS DBA MILLENNIUM HOME CARE OF NE TEXAS
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1010 34TH ST NE
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City | PARIS
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State | TX
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Zip | 75462-5319
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Country | US
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Telephone | 903-784-5556
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Fax | 903-784-3444
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Provider Business Mailing Address
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Address Line | 1010 34TH ST NE
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City | PARIS
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State | TX
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Zip | 75462-5319
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Country | US
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Telephone | 903-784-5556
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Fax | 903-784-3444
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JAYME JETTON
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Credential | R.N.
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Telephone | 903-784-5556
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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 | 002797
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License Number State | TX
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