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General NPI Number Information
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NPI Number | 1649549551
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Entity Type | Organization
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Legal Business Name | AGAPE HOME CARE, INC
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 8509 WESTERN HILLS BLVD SUITE 200
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City | FORT WORTH
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State | TX
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Zip | 76108-3410
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Country | US
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Telephone | 817-336-4663
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Fax | 817-336-5267
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Provider Business Mailing Address
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Address Line | 8509 WESTERN HILLS BLVD SUITE 200
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City | FORT WORTH
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State | TX
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Zip | 76108-3410
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Country | US
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Telephone | 817-336-4663
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Fax | 817-336-5267
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Authorized Official
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Title or Position | OWNER
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Name | MS. MICHELE ORSHAL
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Credential | R.N., C.M.C.
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Telephone | 817-336-4663
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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 | 004346
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License Number State | TX
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