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General NPI Number Information
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NPI Number | 1801912050
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Entity Type | Organization
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Legal Business Name | BIG COUNTRY HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 749 GATEWAY ST. BUILDING F SUITE 702
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City | ABILENE
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State | TX
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Zip | 79602-1196
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Country | US
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Telephone | 325-675-0559
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Fax | 325-675-0591
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Provider Business Mailing Address
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Address Line | 749 GATEWAY ST. BUILDING F SUITE 702
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City | ABILENE
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State | TX
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Zip | 79602-1196
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Country | US
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Telephone | 325-675-0559
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Fax | 325-675-0591
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. JOHNNIE CHRISTINE HUDSON
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Credential | RN
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Telephone | 325-675-0559
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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 | 010529
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License Number State | TX
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