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General NPI Number Information
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NPI Number | 1801128772
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Entity Type | Organization
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Legal Business Name | LOVING CARE AGENCY, INC.
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 2600 ROOSEVELT RD STE 200-1
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City | VALPARAISO
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State | IN
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Zip | 46383-0971
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Country | US
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Telephone | 219-548-0099
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Fax | 219-548-0024
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Provider Business Mailing Address
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Address Line | 5220 SPRING VALLEY RD SUITE 400
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City | DALLAS
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State | TX
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Zip | 75254-3099
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Country | US
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Telephone | 214-466-1351
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Fax | 214-466-1378
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Authorized Official
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Title or Position | DIRECTOR, REGULATORY LICENSING
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Name | VICKI WHITESIDE
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Credential |
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Telephone | 770-248-8740
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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 | 09-012050-1
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License Number State | IN
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