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General NPI Number Information
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NPI Number | 1831365022
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Entity Type | Organization
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Legal Business Name | AFFINITY HOME HEALTH, L. L. C.
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 815 N ELM ST STE 104
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City | DENTON
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State | TX
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Zip | 76201-2980
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Country | US
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Telephone | 940-367-9842
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Fax | 940-387-0545
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Provider Business Mailing Address
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Address Line | 815 N ELM ST STE 104
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City | DENTON
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State | TX
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Zip | 76201-2980
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Country | US
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Telephone | 940-367-9842
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Fax | 940-387-0545
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. RON JAMES TESTER
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Credential | MSPT
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Telephone | 940-367-9842
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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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