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General NPI Number Information
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NPI Number | 1780215889
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Entity Type | Organization
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Legal Business Name | PURE HEARTS HOME CARE LLC
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 3010 LBJ FWY FL 1200
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City | DALLAS
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State | TX
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Zip | 75234-2710
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Country | US
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Telephone | 214-710-2466
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 LYNDON B JOHNSON FWY FL 1200
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City | DALLAS
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State | TX
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Zip | 75234-2710
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Country | US
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Telephone | 214-710-2466
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LATASHA LASHAY THOMAS
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Credential | CARE GIVER
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Telephone | 460-770-3226
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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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