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General NPI Number Information
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NPI Number | 1689021883
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Entity Type | Organization
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Legal Business Name | PBHS HOME HEALTH DFW I, INC
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 6974 WAVERLY LN
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City | FRISCO
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State | TX
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Zip | 75035-7791
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Country | US
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Telephone | 469-256-6661
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Fax | 866-636-4067
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Provider Business Mailing Address
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Address Line | 6974 WAVERLY LN
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City | FRISCO
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State | TX
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Zip | 75035-7791
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Country | US
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Telephone | 469-256-6661
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Fax | 866-636-4067
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TIM BARTHOLOMEW
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Credential |
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Telephone | 469-256-6661
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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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