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General NPI Number Information
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NPI Number | 1821323783
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Entity Type | Organization
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Legal Business Name | JEEVAN HOME HEALTH CARE INC
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Dates
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Enumeration Date | 10/11/2009
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 3620 N JOSEY LN STE 112
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City | CARROLLTON
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State | TX
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Zip | 75007-3151
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Country | US
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Telephone | 469-458-2201
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 N JOSEY LN STE 112
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City | CARROLLTON
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State | TX
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Zip | 75007-3151
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Country | US
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Telephone | 469-458-2201
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Fax | 469-410-6172
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KURIAKOSE VETTICHIRAYIL
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Credential |
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Telephone | 469-458-2201
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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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