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General NPI Number Information
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NPI Number | 1740563717
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Entity Type | Organization
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Legal Business Name | THE GOOD NURSE HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 1636 TURTLE POINT DR
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City | DESOTO
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State | TX
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Zip | 75115-2778
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Country | US
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Telephone | 214-529-1866
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Fax | 972-298-8910
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Provider Business Mailing Address
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Address Line | 1636 TURTLE POINT DR
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City | DESOTO
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State | TX
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Zip | 75115-2778
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Country | US
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Telephone | 214-529-1866
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Fax | 972-298-8910
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | KIM OLIPHANT
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Credential |
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Telephone | 214-529-1866
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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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