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NPI 1699073478

NPI 1699073478 : ANNEL HEALTHCARE SERVICES,LLC : FORNEY, TX

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General NPI Number Information
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    NPI Number           |    1699073478
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANNEL HEALTHCARE SERVICES,LLC 
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Dates
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    Enumeration Date     |    03/03/2011
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    Last Update Date     |    05/25/2011
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Provider Practice Location Address
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    Address Line         |    2140 PECAN RIDGE DR 
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    City                 |    FORNEY
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    State                |    TX
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    Zip                  |    75126-4070
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    Country              |    US
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    Telephone            |    972-896-8627
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    Fax                  |    972-564-3744
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Provider Business Mailing Address
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    Address Line         |    2140 PECAN RIDGE DR 
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    City                 |    FORNEY
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    State                |    TX
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    Zip                  |    75126-4070
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    Country              |    US
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    Telephone            |    972-896-8627
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    Fax                  |    972-564-3744
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. NELSON ONYEKACHI JONAH 
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    Credential           |    
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    Telephone            |    972-896-8627
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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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