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General NPI Number Information
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NPI Number | 1801154547
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Entity Type | Organization
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Legal Business Name | FAYE'S HOME HEALTHCARE AGENCY, INC
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 3619 KIMBALLDALE DR
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City | DALLAS
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State | TX
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Zip | 75233-3012
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Country | US
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Telephone | 214-331-2131
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Fax |
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Provider Business Mailing Address
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Address Line | 3619 KIMBALLDALE DR
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City | DALLAS
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State | TX
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Zip | 75233-3012
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Country | US
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Telephone | 469-766-6148
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Fax |
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Authorized Official
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Title or Position | GOVERNING BODY
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Name | MRS. BEULAH FAYE GILL
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Credential | R.N.
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Telephone | 469-766-6148
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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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