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General NPI Number Information
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NPI Number | 1679018642
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Entity Type | Organization
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Legal Business Name | CARING TALENT FORT WORTH, LLC
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Dates
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Enumeration Date | 12/30/2016
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 4420 W VICKERY BLVD STE 102
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City | FORT WORTH
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State | TX
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Zip | 76107-6253
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Country | US
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Telephone | 817-900-3800
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Fax | 866-692-0752
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Provider Business Mailing Address
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Address Line | 2701 W BERRY ST STE 155
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City | FORT WORTH
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State | TX
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Zip | 76109-2368
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Country | US
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Telephone | 817-900-3800
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Fax | 866-692-0752
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LEE HECKER
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Credential |
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Telephone | 817-900-3800
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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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Taxonomy #2
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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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