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General NPI Number Information
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NPI Number | 1770032732
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Entity Type | Organization
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Legal Business Name | BIRTHED TO CARE INC
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 611 ZION ST SUITE 2
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City | HENDERSON
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State | TX
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Zip | 75652-6565
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Country | US
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Telephone | 903-722-4193
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Fax |
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Provider Business Mailing Address
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Address Line | 1761 COUNTY ROAD 4135 N
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City | OVERTON
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State | TX
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Zip | 75684-6825
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Country | US
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Telephone | 903-258-3627
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Fax | 903-392-8996
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. LARRY COLEMAN JR.
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Credential |
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Telephone | 903-258-3627
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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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