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General NPI Number Information
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NPI Number | 1740807346
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Entity Type | Organization
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Legal Business Name | LAZON HOME HEALTH INC
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 10610 METRIC DR STE 150
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City | DALLAS
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State | TX
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Zip | 75243-5550
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Country | US
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Telephone | 945-232-1423
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Fax | 214-731-7861
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Provider Business Mailing Address
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Address Line | 10610 METRIC DR STE 150
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City | DALLAS
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State | TX
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Zip | 75243-5550
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Country | US
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Telephone | 945-232-1423
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Fax | 214-242-3501
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Authorized Official
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Title or Position | OWNER
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Name | SAM ODILI
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Credential |
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Telephone | 214-597-4512
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 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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