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General NPI Number Information
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NPI Number | 1629447743
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Entity Type | Organization
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Legal Business Name | CONCERNED HEARTS PEDIATRICS HOME HEALTH LLC
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 6104 AMICABLE CT
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City | ARLINGTON
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State | TX
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Zip | 76016-2001
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Country | US
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Telephone | 817-446-3113
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Fax |
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Provider Business Mailing Address
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Address Line | 6104 AMICABLE CT
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City | ARLINGTON
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State | TX
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Zip | 76016-2001
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Country | US
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Telephone | 817-446-3113
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATHY SOWARDS
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Credential | LVN
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Telephone | 817-446-3113
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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 | TX
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