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General NPI Number Information
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NPI Number | 1780132712
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Entity Type | Organization
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Legal Business Name | LIFECARE VIRTUAL HOME HEALTH LLC
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 2601 GUS THOMASSON RD SUITE 300
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City | MESQUITE
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State | TX
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Zip | 75150-4028
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Country | US
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Telephone | 214-271-4361
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Fax |
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Provider Business Mailing Address
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Address Line | 5340 LEGACY DR SUITE 150
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City | PLANO
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State | TX
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Zip | 75024-3178
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Country | US
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Telephone | 469-241-2100
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Fax |
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Authorized Official
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Title or Position | VP OF GOVT AFFAIRS & REIMBURSEMENT
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Name | MR. JOHN MICHAEL CRONIN
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Credential |
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Telephone | 469-241-2128
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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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