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General NPI Number Information
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NPI Number | 1811321136
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Entity Type | Organization
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Legal Business Name | GLORIOUS HEALING HOME HEALTH CARE INC
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 2625 MATLOCK RD STE 103
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City | ARLINGTON
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State | TX
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Zip | 76015-2519
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Country | US
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Telephone | 817-975-9425
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Fax | 817-537-2830
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Provider Business Mailing Address
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Address Line | 2625 MATLOCK RD STE 103
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City | ARLINGTON
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State | TX
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Zip | 76015-2519
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Country | US
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Telephone | 817-975-9425
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Fax | 817-537-2830
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Authorized Official
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Title or Position | OWNER/CFO
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Name | GLEN A HULITT
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Credential |
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Telephone | 817-975-9425
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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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