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General NPI Number Information
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NPI Number | 1780975185
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Entity Type | Organization
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Legal Business Name | LOVECREST HEALTHCARE INC.
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 6301 STONEWOOD DR APT. 3005
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City | PLANO
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State | TX
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Zip | 75024-5269
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Country | US
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Telephone | 469-888-1443
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Fax | 972-596-6371
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Provider Business Mailing Address
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Address Line | 6301 STONEWOOD DR APT. 3005
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City | PLANO
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State | TX
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Zip | 75024-5269
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Country | US
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Telephone | 469-888-1443
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Fax | 972-596-6371
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JIMMY C GRINAGE
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Credential |
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Telephone | 469-888-1443
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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 | TX
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