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General NPI Number Information
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NPI Number | 1780796169
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Entity Type | Organization
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Legal Business Name | ABILENE HOME HEALTH PROFESSIONAL CARE, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 265 S LEGGETT DR SUITE 1
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City | ABILENE
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State | TX
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Zip | 79605-1690
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Country | US
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Telephone | 325-672-9454
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Fax | 325-673-3851
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Provider Business Mailing Address
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Address Line | 265 S LEGGETT DR SUITE 1
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City | ABILENE
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State | TX
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Zip | 79605-1690
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Country | US
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Telephone | 325-672-9454
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Fax | 325-673-3851
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Authorized Official
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Title or Position | OWNER, CFO
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Name | MRS. GRETCEHN JOHANNA HERMAN
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Credential |
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Telephone | 325-672-9454
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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 | 001419
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License Number State | TX
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