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General NPI Number Information
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NPI Number | 1730160094
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Entity Type | Organization
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Legal Business Name | DALLAS PHYSICIAN'S CHOICE HOMECARE, LLC.
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Dates
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Enumeration Date | 11/12/2005
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 200 E MAIN ST
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City | MESQUITE
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State | TX
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Zip | 75149-4318
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Country | US
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Telephone | 972-686-7602
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Fax | 972-686-7475
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Provider Business Mailing Address
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Address Line | 200 E MAIN ST
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City | MESQUITE
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State | TX
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Zip | 75149-4318
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Country | US
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Telephone | 972-686-7602
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Fax | 972-686-7475
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DELAUNTE' MISHELL CRAWFORD
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Credential | RN BSN
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Telephone | 972-686-7602
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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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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009451
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License Number State | TX
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