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General NPI Number Information
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NPI Number | 1700319415
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Entity Type | Organization
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Legal Business Name | STAY AT HOME HEALTH CARE
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 16462 S US HIGHWAY 69
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City | HUNTINGTON
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State | TX
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Zip | 75949-4499
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Country | US
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Telephone | 936-635-5791
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Fax | 936-876-2080
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Provider Business Mailing Address
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Address Line | 16462 S US HIGHWAY 69
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City | HUNTINGTON
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State | TX
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Zip | 75949-4499
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Country | US
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Telephone | 936-635-5791
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Fax | 936-876-2080
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Authorized Official
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Title or Position | OWNER
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Name | LINDA F HAVARD
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Credential | DIRECTOR
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Telephone | 936-635-5791
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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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