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General NPI Number Information
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NPI Number | 1699235606
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Entity Type | Organization
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Legal Business Name | JOSHUA'S HOME HEALTH, LLC
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 11880 SHILOH RD
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City | DALLAS
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State | TX
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Zip | 75228-1501
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Country | US
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Telephone | 469-916-9354
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Fax | 469-916-9358
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Provider Business Mailing Address
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Address Line | 11880 SHILOH RD
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City | DALLAS
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State | TX
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Zip | 75228-1501
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Country | US
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Telephone | 469-916-9354
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Fax | 469-916-9358
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JACOB CHARLES BOSWELL
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Credential |
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Telephone | 214-403-8323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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