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General NPI Number Information
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NPI Number | 1609290527
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Entity Type | Organization
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Legal Business Name | LIFE-FIRST HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 2110 SANDSTONE CT
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City | MANSFIELD
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State | TX
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Zip | 76063-5054
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Country | US
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Telephone | 817-899-4406
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Fax | 817-453-1670
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Provider Business Mailing Address
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Address Line | 2110 SANDSTONE CT
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City | MANSFIELD
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State | TX
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Zip | 76063-5054
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Country | US
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Telephone | 817-899-4406
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Fax | 817-453-1670
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NELLIUS WANJIRU ODUGUWA
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Credential |
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Telephone | 817-899-4406
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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 | 012234
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License Number State | TX
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