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General NPI Number Information
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NPI Number | 1619109030
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Entity Type | Organization
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Legal Business Name | 1ST AMERICAN NEW HOPE HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 10/31/2009
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Provider Practice Location Address
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Address Line | 1447 GREENBROOK DR
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City | ROCKWALL
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State | TX
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Zip | 75032-7358
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Country | US
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Telephone | 972-722-6749
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Fax | 972-722-6749
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Provider Business Mailing Address
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Address Line | 1447 GREENBROOK DR
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City | ROCKWALL
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State | TX
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Zip | 75032-7358
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Country | US
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Telephone | 972-722-6749
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Fax | 972-722-6749
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Authorized Official
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Title or Position | CFO
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Name | FRED CHAM
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Credential |
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Telephone | 469-358-7988
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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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