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General NPI Number Information
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NPI Number | 1629107016
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Entity Type | Organization
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Legal Business Name | QUALITY BASED HOME HEALTH,LLC
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 1219 ABRAMS RD STE 119
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City | RICHARDSON
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State | TX
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Zip | 75081-5582
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Country | US
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Telephone | 972-744-9719
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Fax | 972-744-9751
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Provider Business Mailing Address
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Address Line | 1219 ABRAMS RD STE 119
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City | RICHARDSON
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State | TX
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Zip | 75081-5582
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Country | US
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Telephone | 972-744-9719
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Fax | 972-744-9751
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. STELLA OLABISI ALUKO, PH. D
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Credential | PH. D
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Telephone | 469-487-5010
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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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