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General NPI Number Information
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NPI Number | 1801034541
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Entity Type | Organization
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Legal Business Name | ADA HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 9661 AUDELIA RD SUITE 111
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City | DALLAS
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State | TX
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Zip | 75238-2676
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Country | US
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Telephone | 214-284-8689
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Fax | 214-553-1519
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Provider Business Mailing Address
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Address Line | 102 FOREST BEND DR
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City | COPPELL
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State | TX
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Zip | 75019-2039
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Country | US
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Telephone | 214-284-8689
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Fax | 214-553-1519
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. BEATRICE AKPOMANA ESEDEBE
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Credential | RN
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Telephone | 214-284-8689
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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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