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General NPI Number Information
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NPI Number | 1629307293
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Entity Type | Organization
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Legal Business Name | HEALTHBACK HOME HEALTH OF N.E. TEXAS, INC.
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 2501 SUMMERHILL RD
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City | TEXARKANA
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State | TX
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Zip | 75501-3568
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Country | US
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Telephone | 903-793-0282
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Fax | 903-793-2586
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Provider Business Mailing Address
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Address Line | 16211 N MAY AVE
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City | EDMOND
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State | OK
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Zip | 73013-8871
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Country | US
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Telephone | 405-842-1700
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Fax | 405-767-1695
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Authorized Official
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Title or Position | CEO
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Name | MS. CHRISTY W. EVANS
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Credential |
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Telephone | 405-842-1700
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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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