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General NPI Number Information
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NPI Number | 1689343717
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Entity Type | Organization
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Legal Business Name | DANCER HOME HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 09/11/2021
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Last Update Date | 09/11/2021
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Provider Practice Location Address
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Address Line | 1222 S OAK ST
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City | ARLINGTON
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State | TX
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Zip | 76010-2527
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Country | US
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Telephone | 817-298-4267
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Fax | 682-323-7666
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Provider Business Mailing Address
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Address Line | PO BOX 300011
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City | ARLINGTON
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State | TX
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Zip | 76007-0011
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Country | US
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Telephone | 817-298-4267
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Fax | 682-323-7666
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Authorized Official
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Title or Position | OWNER
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Name | LAFAYETTE DANCER
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Credential | LVN
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Telephone | 817-298-4267
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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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