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General NPI Number Information
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NPI Number | 1679190722
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Entity Type | Organization
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Legal Business Name | YONA HOME CARE
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Dates
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Enumeration Date | 07/05/2020
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Last Update Date | 07/05/2020
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Provider Practice Location Address
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Address Line | 2403 MASTON DR
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City | ANNA
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State | TX
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Zip | 75409-0199
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Country | US
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Telephone | 214-303-7914
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Fax |
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Provider Business Mailing Address
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Address Line | 2403 MASTON DR
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City | ANNA
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State | TX
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Zip | 75409-0199
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/CFO
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Name | RUMBIDZO JACOB TOFA
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Credential |
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Telephone | 214-303-7914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care 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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