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General NPI Number Information
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NPI Number | 1699390112
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Entity Type | Organization
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Legal Business Name | GNK HOME CARE LLC
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 5775 PARKWOOD BLVD APT 512
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City | FRISCO
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State | TX
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Zip | 75034-7309
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Country | US
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Telephone | 770-548-7523
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Fax |
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Provider Business Mailing Address
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Address Line | 5775 PARKWOOD BLVD APT 512
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City | FRISCO
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State | TX
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Zip | 75034-7309
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Country | US
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Telephone | 770-548-7523
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JOSEPHINE MSIAGI
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Credential | LVN
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Telephone | 770-548-7523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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