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General NPI Number Information
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NPI Number | 1629752332
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Entity Type | Organization
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Legal Business Name | CORSICANA HOMECARE LLC DBA VISITING ANGELS
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 852 MACH RD
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City | ENNIS
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State | TX
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Zip | 75119-0469
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Country | US
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Telephone | 903-702-5000
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Fax | 903-702-5002
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Provider Business Mailing Address
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Address Line | 852 MACH RD
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City | ENNIS
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State | TX
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Zip | 75119-0469
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Country | US
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Telephone | 469-383-4777
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Fax | 903-702-5002
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Authorized Official
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Title or Position | BRANCH MANAGER
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Name | HANNAH GAIL ESTES
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Credential |
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Telephone | 469-383-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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