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General NPI Number Information
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NPI Number | 1780095869
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Entity Type | Organization
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Legal Business Name | ORANGEWOOD HOME HEALTH CARE
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 1104 ORANGEWOOD LN SUITE 101
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City | ARLINGTON
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State | TX
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Zip | 76001-7841
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Country | US
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Telephone | 817-419-8766
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Fax | 817-419-8766
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Provider Business Mailing Address
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Address Line | 1104 ORANGEWOOD LN SUITE 101
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City | ARLINGTON
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State | TX
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Zip | 76001-7841
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Country | US
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Telephone | 817-419-8766
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Fax | 817-419-8766
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. DELORES CEASAR PERRY
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Credential | L.V.N.
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Telephone | 817-419-8766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | A214005733
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License Number State | TX
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